WorldWideScience

Sample records for major national challenge

  1. Major Management Challenges and Program Risks: Small Business Administration

    Science.gov (United States)

    2001-01-01

    2001 Major Management Challenges and Program Risks Small Business AdministrationGAO-01-260 Form SF298 Citation Data Report Date ("DD MON YYYY...34) 00JAN2001 Report Type N/A Dates Covered (from... to) ("DD MON YYYY") Title and Subtitle Major Management Challenges and Program Risks Small Business ...Administration (SBA) as it seeks to aid, counsel, assist, and protect the interests of the nations small businesses and help businesses and families

  2. Major Management Challenges and Program Risks. Department of Labor

    National Research Council Canada - National Science Library

    2001-01-01

    This report addresses the major performance and accountability challenges facing the Department of Labor as it seeks to promote the welfare and economic security of the nations work force and ensure...

  3. National Drug IQ Challenge

    Science.gov (United States)

    ... National Drug IQ Challenge 2017 Reto nacional del coeficiente intelectual (CI) sobre las drogas y el alcohol 2016 National Drug IQ Challenge 2016 Reto nacional del coeficiente intelectual (CI) sobre las drogas y el alcohol 2015 ...

  4. Mexico’s National Security Challenges and the Military Endeavor

    Science.gov (United States)

    2013-03-01

    10 highlighted major challenges for nations in the region and their armies, such as poverty and lack of social development, massive migration ...31 15 2006 2007-2009 2010 2011 Sinaloa cartel Sinaloa cartel Sinaloa cartel Sinaloa cartel Beltran Leyva cartel South pacific cartel...Mexican population in many states, such as Tamaulipas, Coahuila, Chihuahua, Sinaloa , and Durango, is fearful of organized crime. The majority of the

  5. Hypertension in Developing Countries: A Major Challenge for the Future.

    Science.gov (United States)

    Mohsen Ibrahim, M

    2018-05-01

    Outline recent epidemiologic data regarding hypertension in developing countries, distinguish differences from developed countries, and identify challenges in management and future perspectives. Increased sugar intake, air and noise pollution, and low birth weight are emerging hypertension risk factors. The major challenges in management are difficulties in accurate diagnosis of hypertension and adequate blood pressure control. In contrast to developed countries, hypertension prevalence rates are on the rise in developing countries with no improvement in awareness or control rates. The increasing burden of hypertension is largely attributable to behavioral factors, urbanization, unhealthy diet, obesity, social stress, and inactivity. Health authorities, medical societies, and drug industry can collaborate to improve hypertension control through education programs, public awareness campaigns, legislation to limit salt intake, encourage generic drugs, development and dissemination of national guidelines, and involving nurses and pharmacists in hypertension management. More epidemiologic data are needed in the future to identify reasons behind increased prevalence and poor blood pressure control and examine trends in prevalence, awareness, treatment, and control. National programs for better hypertension control based on local culture, economic characteristics, and available resources in the population are needed. The role of new tools for hypertension management should be tested in developing world.

  6. The national system of nuclear material control development and challenges. Vol. 3

    International Nuclear Information System (INIS)

    Badawy, I.

    1996-01-01

    This paper presents the major factors which may affect the implementation of the National System of Nuclear Material Accounting and Safeguards in Egypt. Developments of this National System-being a division of the Nuclear Regulatory Body in the country-are discussed. Also, recent requirements of the International Atomic Energy Agency within the policy of strengthening its regime of international nuclear control are reviewed. The challenges facing the National System are indicated taking in consideration the anticipated growth in the nuclear field in Egypt by the year 2000 and after. 2 figs

  7. The national system of nuclear material control development and challenges. Vol. 3

    Energy Technology Data Exchange (ETDEWEB)

    Badawy, I [National Centre for Nuclear Safety and Radiation Control, Atomic Energy Authority, Cairo (Egypt)

    1996-03-01

    This paper presents the major factors which may affect the implementation of the National System of Nuclear Material Accounting and Safeguards in Egypt. Developments of this National System-being a division of the Nuclear Regulatory Body in the country-are discussed. Also, recent requirements of the International Atomic Energy Agency within the policy of strengthening its regime of international nuclear control are reviewed. The challenges facing the National System are indicated taking in consideration the anticipated growth in the nuclear field in Egypt by the year 2000 and after. 2 figs.

  8. Affordances and Alignments: Continuing Challenges in Advising Undergraduate Psychology Majors

    Science.gov (United States)

    Landrum, R. Eric

    2018-01-01

    Challenges abound in providing accurate and useful information to prospective and declared psychology majors about their career options and how to make decisions that will lead to satisfying and rewarding postgraduate lives. One component of this challenge is that by majoring in psychology, career affordances (i.e., the opportunities and…

  9. National health inequality monitoring: current challenges and opportunities.

    Science.gov (United States)

    Hosseinpoor, Ahmad Reza; Bergen, Nicole; Schlotheuber, Anne; Boerma, Ties

    National health inequality monitoring needs considerably more investment to realize equity-oriented health improvements in countries, including advancement towards the Sustainable Development Goals. Following an overview of national health inequality monitoring and the associated resource requirements, we highlight challenges that countries may encounter when setting up, expanding or strengthening national health inequality monitoring systems, and discuss opportunities and key initiatives that aim to address these challenges. We provide specific proposals on what is needed to ensure that national health inequality monitoring systems are harnessed to guide the reduction of health inequalities.

  10. Meeting national challenges with science, engineering, and technology

    International Nuclear Information System (INIS)

    1992-03-01

    This report discusses research in the following areas at Lawrence Livermore National Laboratory: national challenges; the Livermore Laboratory; national defense: preserving peace in a rapidly changing world; energy: clean and economic; environment: from the microscopic to the global; health: genetics and biomedicine; economy: bringing laboratory technology to the US market; education: sparking interest in science; and the Livermore Laboratory: a national resource

  11. The CRC 20 years: An overview of some of the major achievements and remaining challenges.

    Science.gov (United States)

    Doek, Jaap E

    2009-11-01

    On 20 November 1989, the General Assembly of the United Nations adopted the Convention on the Rights of the Child (CRC). It entered into force on 2 September 1990 and has by now been ratified by 193 States, making the most universally ratified human rights treaty. This overview will present and discuss the impact of this treaty both at the international and the national level, an overview which necessarily has to be limited to some of the developments as a result of the implementation of the CRC. The first part of this paper will be devoted to the impact the CRC had and still has on the setting and development of the international agenda for the promotion and protection of the rights and welfare of children. Special attention will given to developments, achievements, and remaining challenges at the international level with regard to protection of children in armed conflict; prevention and the protection of children from sexual exploitation; and from all forms of violence. This will include some information on the impact of these international developments and actions at the national level, for example, in the area of legislation. The second part will focus on the impact at the national level. Given the wide scope of the CRC this part will be limited to some of the General Measures of Implementation (law reform, national programmes, and independent monitoring) and the General Principles (non-discrimination, best interest, right to be heard) of the CRC. This will be based on reports of States on the implementation of the CRC submitted to the CRC Committee and the Concluding Observations of this Committee and on a number of studies. The conclusion will provide remarks on poverty as one of the major remaining challenges for the implementation of children's rights.

  12. Internet Accessibility: Challenges before the African Nations

    African Journals Online (AJOL)

    Internet Accessibility: Challenges Before The African Nations. 207. Information ... increasing internet access in Africa (Jensen, ... bite, particularly in the area of policy ... especially the urban and rural poor. ... supply, but electricity power supply.

  13. Avoidable challenges of a nuclear medicine facility in a developing nation

    International Nuclear Information System (INIS)

    Adedapo, Kayode Solomon; Onimode, Yetunde Ajoke; Ejeh, John Enyi; Adepoju, Adewale Oluwaseun

    2013-01-01

    The role of nuclear medicine in disease management in a developing nation is as impactful as it is in other regions of the world. However, in the developing world, the practice of nuclear medicine is faced with a myriad of challenges, which can be easily avoided. In this review, we examine the many avoidable challenges to the practice of nuclear medicine in a developing nation. The review is largely based on personal experiences of the authors who are the pioneers and current practitioners of nuclear medicine in a typical developing nation. If the challenges examined in this review are avoided, the practice of nuclear medicine in such a nation will be more effective and practitioners will be more efficient in service delivery. Hence, the huge benefits of nuclear medicine will be made available to patients in such a developing nation

  14. A New Majority: Low Income Students Now a Majority in the Nation's Public Schools. Research Bulletin

    Science.gov (United States)

    Southern Education Foundation, 2015

    2015-01-01

    For the first time in recent history, a majority of the schoolchildren attending the nation's public schools come from low income families. The latest data collected from the states by the National Center for Education Statistics (NCES), evidence that 51 percent of the students across the nation's public schools were low income in 2013. The…

  15. The pressing energy innovation challenge of the US National Laboratories

    Science.gov (United States)

    Anadon, Laura Diaz; Chan, Gabriel; Bin-Nun, Amitai Y.; Narayanamurti, Venkatesh

    2016-10-01

    Accelerating the development and deployment of energy technologies is a pressing challenge. Doing so will require policy reform that improves the efficacy of public research organizations and strengthens the links between public and private innovators. With their US$14 billion annual budget and unique mandates, the US National Laboratories have the potential to critically advance energy innovation, yet reviews of their performance find several areas of weak organizational design. Here, we discuss the challenges the National Laboratories face in engaging the private sector, increasing their contributions to transformative research, and developing culture and management practices to better support innovation. We also offer recommendations for how policymakers can address these challenges.

  16. Confronting the Challenges Facing the Nigerian Nation State: Using ...

    African Journals Online (AJOL)

    This paper explains the concept of nation-state and sports. It critically examines some of the challenges characterizing Nigerian nation state such as ethnicity, corruption, politics of godfatherisms, tribalism, language differences, and religious crises among others. It emphasizes the use of sports for creating of friendship ...

  17. First Nations people's challenge in managing coronary artery disease risk.

    Science.gov (United States)

    King, Kathryn M; Sanguins, Julianne; McGregor, Lisa; LeBlanc, Pamela

    2007-10-01

    First Nations peoples bring a particular history and cultural perspective to healing and well-being that significantly influences their health behaviors. The authors used grounded theory methods to describe and explain how ethnocultural affiliation and gender influence the process that 22 First Nations people underwent when making lifestyle changes related to their coronary artery disease (CAD) risk. The transcribed interviews revealed a core variable, meeting the challenge. Meeting the challenge of CAD risk management was influenced by intrapersonal, interpersonal (relationships with others), extrapersonal (i.e., the community and government), sociodemographic, and gendered factors. Salient elements for the participants included their beliefs about origins of illness, the role of family, challenges to accessing information, financial and resource management, and the gendered element of body image. Health care providers need to understand the historical, social, and culturally embedded factors that influence First Nations people's appraisal of their CAD.

  18. Conservation biology in Asia: the major policy challenges.

    Science.gov (United States)

    McNeely, Jeffrey A; Kapoor-Vijay, Promila; Zhi, Lu; Olsvig-Whittaker, Linda; Sheikh, Kashif M; Smith, Andrew T

    2009-08-01

    With about half the world's human population and booming economies, Asia faces numerous challenges to its biodiversity. The Asia Section of the Society for Conservation Biology has identified some key policy issues in which significant progress can be made. These include developing new sources of funding for forest conservation; identifying potential impacts of energy alternatives on the conservation of biodiversity; curbing the trade in endangered species of plants and animals; a special focus on the conservation of mountain biodiversity; enhancing relevant research; ensuring that conservation biology contributes to major international conventions and funding mechanisms; using conservation biology to build a better understanding of zoonotic diseases; more effectively addressing human-animal conflicts; enhancing community-based conservation; and using conservation biology to help address the pervasive water-deficit problems in much of Asia. These challenges can be met through improved regional cooperation among the relevant stakeholders.

  19. HUMAN CAPITAL: Major Human Capital Challenges at SEC and Key Trade Agencies

    National Research Council Canada - National Science Library

    Hillman, Richard

    2002-01-01

    We appreciate the opportunity to appear here today to discuss the human capital challenges facing the agencies that play key roles in monitoring publicly traded companies and enforcing our nation's trade laws...

  20. Turning Weaknesses into Strengths: Nordic Tourism, Potentials for Growth and Major Challenges

    Directory of Open Access Journals (Sweden)

    Ruhet Genc

    2010-03-01

    Full Text Available Nordic region is a geographical area which is characterized by a combination of nature, culture, history and technology and regarded as a common entity in political, economical and historical sense. Although rich in its resources, Nordic tourism has not actualized its potential in full. The present paper aims to identify weaknesses of the region, to outline a new set of directions for improving Nordic tourism and to delineate major challenges. Its geographical and natural beauties, cultural characteristics, technological advancement and policy development are identified as assets for tourism advancement in the region. Winter tourism, adventure tourism, nature-based tourism and cultural tourism are demonstrated as potential routes of growth. Marketing strategies and changing trends are discussed as major challenges, with suggestions for implementation.

  1. National response plan - Major nuclear or radiological accidents

    International Nuclear Information System (INIS)

    2014-02-01

    France has been implementing stringent radiation protection and nuclear safety and security measures for many years. However, this does not mean that the country is exempt from having to be prepared to deal with an emergency. Changes in France, Europe and other parts of the globe have made it necessary for France to reconsider how it responds to nuclear and radiological emergencies. As the potential impact of a nuclear or radiological accident can affect a wide range of activities, the plan described herein is based on a cross-sector and inter-ministerial approach to emergency response. The Chernobyl and Fukushima-Daiichi disasters are proof that the consequences of a major nuclear or radiological accident can affect all levels of society. These challenges are substantial and relate to: public health: An uncontrolled nuclear accident can have immediate consequences (death, injury, irradiation) as well as long-term consequences that can lead to increased risk of developing radiation-induced diseases (such as certain types of cancer); environmental quality: Radiation contamination can last for several decades and, in some cases, can result in an area being closed off permanently to the public; economic and social continuity: Nuclear accidents bring human activity to a halt in contaminated areas, disrupting the economic and social order of the entire country. It may therefore be necessary to adapt economic and social systems and carry out clean-up operations if people and businesses have been displaced; quality of international relations: Related to fulfillment of obligations to alert and inform European and international partners. This international dimension also covers the protection of French nationals present in countries stricken by a nuclear accident. This national plan provides reference information on how to prepare for a nuclear or radiological emergency and make the appropriate decisions in the event of an emergency. It covers the emergency phase (including

  2. New challenges for grizzly bear management in Yellowstone National Park

    Science.gov (United States)

    van Manen, Frank T.; Gunther, Kerry A.

    2016-01-01

    A key factor contributing to the success of grizzly bear Ursus arctos conservation in the Greater Yellowstone Ecosystem has been the existence of a large protected area, Yellowstone National Park. We provide an overview of recovery efforts, how demographic parameters changed as the population increased, and how the bear management program in Yellowstone National Park has evolved to address new management challenges over time. Finally, using the management experiences in Yellowstone National Park, we present comparisons and perspectives regarding brown bear management in Shiretoko National Park.

  3. Political Leadership and Challenges of National Integration and Development in Nigeria: The Way Forward

    Directory of Open Access Journals (Sweden)

    Akinbi Joseph Olukayode

    2015-04-01

    Full Text Available Concrete and genuine national integration and development have been elusive in Nigeria, which has been a thing of serious concern to scholars. The study interrogates why true integration and meaningful development have been elusive in the country? This constitutes the key problem of the study. The historical method of research and analysis was employed in the study as the paper under discussion covers the past, the present and likely implications on the future of the country. The major findings in the paper revealed various factors or challenges as been responsible for this abysmal state of affairsand which Nigerian political leaders have been battling with. The paper examines some of these challenges which among others include: the elusiveness of a national leader, corruption and mismanagement of material and human resources, lack of proper accountability on the part of Nigerian political leaders, the crushing economic depression which manifested in high cost of living, poverty, mass unemployment and dissatisfaction among the citizenry, problems of democratic consolidation, the Niger Delta environmental crisis, religious crisis and the recent Boko Haram scourge which had proved intractable for Nigerian government. The implication of the totality of all these factors has the effect of partly contributing to Nigeria perambulating at the same spot or even dancing backward rather than progressing, thereby making stability, true nation building, national integration and development elusive to the Nigerian nation. Recommendations proffered towards curbing the problems in the paper include: the need to learn from history, the need for improved electioneering culture, declaration of assets by political leaders to enhance accountability, respect for the secularity of Nigeria, creation of jobs and putting in place of people oriented programmes and the need for re-orientation of both leaders and followers in Nigeria.

  4. CHALLENGES OF EMPOWERING PEOPLE WITH DISABILITIES IN NIGERIA FOR NATIONAL DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Johan ELEWEKE

    2016-09-01

    Full Text Available Introduction: This paper reviews issues affecting the empowerment of people with disabilities in Nigeria so they can be productive and contribute to the development of the nation. The questions of concern are: What is known about the extent people with disabilities are empowered to contribute to national development in Nigeria? What challenges do people with disabilities in Nigeria encounter in their attempt to contribute to national development? What are the implications of these challenges regarding strategies that could enhance the empowerment of people with disabilities to facilitate their contribution to national development? Method: This paper addresses these questions by reviewing available research on issues pertaining to (1 legislative mandates on provision of services to individuals with disabilities in the country, (2 funding for services by the government, (3 accessing education and related services, which can ensure that people with disabilities are able to develop their potential and be able to contribute to national development as workers, administrators or employers of labour. Findings: Available evidence indicates that people with disabilities in Nigeria encounter challenges in accessing essential services that could enhance their contribution to national development due to factors such as the absence of legislation protecting their rights to receive these services, inadequate funding of services, absence of effective inclusion programmes, and lack of facilities, personnel, and resources. Suggestions and conclusion: The author recommended some strategies that could produce better outcomes and enhance the opportunities for people with disabilities to be empowered so that they can contribute their quota to national development. These strategies include: enacting and implementing а national disability legislation, utilisation of community-based strategies in the provision of services, and increased advocacy activities by

  5. Majority and Minority Nationalism in the Danish Post-Welfare State

    DEFF Research Database (Denmark)

    Koefoed, Lasse Martin

    2015-01-01

    studies of the struggle over the welfare community and meaning. The empirical material draws on two recent research projects that include narratives and perspectives from minority and majority population in Denmark. By analysing different perspectives on the nation the article intends to open up for both...... shared narratives on the welfare state but also differences in the ongoing struggle over the right to the nation...

  6. China's New National Curriculum Reform: Innovation, Challenges and Strategies

    Science.gov (United States)

    Guan, Qun; Meng, Wanjin

    2007-01-01

    This paper presents systematically China's New National Curriculum Reform (CNNCR). It covers the background, origin, essence, goals, features, evolvement, schedule, implementation, the alignment in primary, secondary and middle schools' curricula and inter-subjects, the outcomes and the challenges and strategies of CNNCR.

  7. Beyond National Majority/Minority Dichotomies

    DEFF Research Database (Denmark)

    Petersen, Hanne

    2010-01-01

    Publikationen indeholder 4 dele: 1) Law and Religion;2) Late Modern Challenges; 3) Challenges from Particular Normative Traditions; 4) A Defining Challenge. Artiklen indgår i del 2. Artiklen diskuterer forandringer i normativitet i nordiske samfund især Danmark i takt med at småstaternes lokale...

  8. Major Components of the National TRU Waste System Optimization Project

    International Nuclear Information System (INIS)

    Moody, D.C.; Bennington, B.; Sharif, F.

    2002-01-01

    The National Transuranic (TRU) Program (NTP) is being optimized to allow for disposing of the legacy TRU waste at least 10 years earlier than originally planned. This acceleration will save the nation an estimated $713. The Department of Energy's (DOE'S) Carlsbad Field Office (CBFO) has initiated the National TRU Waste System Optimization Project to propose, and upon approvaI, implement activities that produce significant cost saving by improving efficiency, thereby accelerating the rate of TRU waste disposal without compromising safety. In its role as NTP agent of change, the National TRU Waste System Optimization Project (the Project) (1) interacts closely with all NTP activities. Three of the major components of the Project are the Central Characterization Project (CCP), the Central Confirmation Facility (CCF), and the MobiIe/Modular Deployment Program.

  9. The importance of fungi and mycology for addressing major global challenges*

    OpenAIRE

    Lange, Lene

    2014-01-01

    In the new bioeconomy, fungi play a very important role in addressing major global challenges, being instrumental for improved resource efficiency, making renewable substitutes for products from fossil resources, upgrading waste streams to valuable food and feed ingredients, counteracting life-style diseases and antibiotic resistance through strengthening the gut biota, making crop plants more robust to survive climate change conditions, and functioning as host organisms for production of new...

  10. Relaunching a national social marketing campaign: expectations and challenges for the "new" ParticipACTION.

    Science.gov (United States)

    Faulkner, Guy; McCloy, Cora; Plotnikoff, Ronald C; Tremblay, Mark S

    2011-07-01

    ParticipACTION is a Canadian physical activity communications and social marketing organization that has been relaunched in 2007 after a 6-year hiatus. The purpose of this study is to qualitatively identify and describe the expectations and challenges the relaunch of the new ParticipACTION may present for existing physical activity organizations. Using a purposeful sampling strategy, the authors conduct semistructured telephone interviews with 49 key informants representing a range of national, provincial, and local organizations with a mandate to promote physical activity. Overall, there is strong support in seeing ParticipACTION relaunched. However, organizational expectations and/or their ideal vision for it are mixed. Organizations envision and support its performing an overarching social marketing and advocacy role, and in providing tools and resources that supplement existing organizational activities. Four major organizational challenges are identified concerning overlapping mandates, partnership and leadership concerns, competition for funding, and capacity concerns. Social marketing initiatives, such as ParticipACTION, may not be able to maximize their impact unless they address the expectations and concerns of competing organizations with a mandate to promote physical activity.

  11. Challenges for Norway as an energy nation

    International Nuclear Information System (INIS)

    2000-01-01

    The Norwegian energy sector is a dominating factor in the economy of Norway. Both in the power sector and the petroleum sector industrial environments have been developed that possess resources, skill and technology which form a good foundation for further industrial commitments. Deregulation of the energy markets, new corporate strategies and phasing-up of national frontiers represent new challenges to the energy sector. Failing international focus among many energy companies in addition to less domestic activity may lead the energy sector into a negative development, We have formulated two active strategies for meeting the challenges of the future. If the recommended strategy, industrial reorientation, is followed, the consolidation of the Norwegian power sector will be continued and the state's owner interests on the Norwegian continental shelf coordinated. At the same time the public ownership will be wound up through partial privatization. Establishing powerful Norwegian energy companies creates the best foundation for meeting the competition in a much more demanding energy market

  12. Insights and Opportunities: Challenges of Canadian First Nations Drinking Water Operators

    Directory of Open Access Journals (Sweden)

    Heather M. Murphy

    2015-06-01

    Full Text Available Providing safe drinking water continues to be a challenge in Canadian First Nations communities. In 2011, in Ontario and British Columbia, only 45 percent and 51 percent of 143 and 160 First Nations had water systems with a fully trained certified operator, respectively. The objective of this research was to investigate the issues of operator training, retention, and job satisfaction through semi-structured interviews and surveys of water system operators in Ontario and British Columbia. Operators reported the lack of funding for operation and maintenance, and a lack of support from band council as challenges in performing their jobs. Of those who reported being unsatisfied with their position, wages, hours of work, and lack of funding or support were cited as primary reasons.

  13. Major national human biomonitoring programs in chemical exposure assessment

    Directory of Open Access Journals (Sweden)

    Judy Choi

    2015-07-01

    Full Text Available Human biomonitoring (HBM programs have been established in several countries around the world in order to monitor the levels of chemical exposures in the general population and qualify health risk assessment of national and international interest. Study design, population, sample collection, and chemical analysis must be considered when comparing and interpreting the results. In this review, the objectives and brief descriptions of the major national HBM programs in North America, Europe, and Asia are provided. Similarities and differences observed from a comparative analysis among these programs, including the stratification of data according to age, sex, socioeconomic background, etc. as well as the identification of chemical exposure associated with food intake, are discussed. Overall, although there are some discrepancies in the study designs among the reviewed national HBM programs, results from the programs can provide useful information such as chemical levels found within the general population of a country that can be compared. Furthermore, the results can be used by regulatory authorities or the government to enforce legislations in order to reduce the exposure of chemicals into the human body.

  14. Ireland’s Competitiveness Challenge 2014

    OpenAIRE

    2014-01-01

    Ireland’s Competitiveness Challenge 2014, which is produced under the Action Plan for Jobs 2014, outlines the National Competitiveness Council’s view of the main competitiveness issues confronting the business sector in Ireland over the medium term, and sets out a series of policy responses required to address these challenges. Building on their earlier benchmarking of Irish competitiveness, the Council focus on six major themes in the 2014 report: addressing cost competitiveness; broadening ...

  15. Technical support organization of national regulators: Challenges and strategy

    International Nuclear Information System (INIS)

    Mallick, S.A.; Maqbul, N.; Kanwal, S.; Hashmi, J.A.

    2007-01-01

    technical support organization called the 'Centre for Nuclear Safety' within PNRA to meet the future regulatory challenges. This paper discusses the objectives and organization of Centre for Nuclear Safety and the challenges that the centre is facing as the strategy being devised to meet those challenges. The paper includes a brief description of co-operation under an IAEA TC project titled 'Further Improvement of Nuclear Regulatory Infrastructure in Pakistan-(PAK/9/28)' which is an example of international co-operation in the establishment of technical support organization to enhance the regulatory effectiveness of the national regulator in Pakistan. (author)

  16. Overview of nuclear export policies of major foreign supplier nations

    International Nuclear Information System (INIS)

    1977-01-01

    The United States faces increased competition from foreign nuclear suppliers, including West Germany, France, the United Kingdom, Canada, and possibly, in the near future, Japan. This general overview shows the differences and similarities in foreign nuclear supplier export requirements. It is based on summaries furnished by the Department of State covering the nuclear export policies and procedures of the major foreign supplier nations

  17. Intra-State Challenges to the Nation-State Project in Africa ...

    African Journals Online (AJOL)

    Intra-State Challenges to the Nation-State Project in Africa. Abdul Raufu Mustapha. Abstract. No Abstract Available CODESRIA Bulletin No.2, 3 & 4 2003: 26-34. AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors · FAQ's · More about AJOL · AJOL's Partners · Terms and ...

  18. A qualitative exploration of the major challenges facing pharmacovigilance in Saudi Arabia.

    Science.gov (United States)

    Aljadhey, Hisham; Mahmoud, Mansour A; Alshammari, Thamir M; Al-Dhaeefi, Mohammed; Le Louet, Herve; Perez-Gutthann, Susana; Pitts, Peter J

    2015-09-01

    To explore the challenges facing pharmacovigilance in Saudi Arabia and formulate recommendations to improve it from the perspective of healthcare professionals in Saudi Arabia. This was a qualitative study of 4 focus group discussions with pharmacists, physicians, and academicians held under the auspices of the King Saud University School of Pharmacy and the Center for Medicine in the Public Interest, Riyadh, Saudi Arabia. A total of 29 eligible healthcare professionals were invited to participate in the discussion. The predefined themes of the study were the current practice and major challenges facing pharmacovigilance in regulatory bodies, hospitals, the community, and academia, as well as recommendations to improve pharmacovigilance practice.  Of the 29 participants invited, 27 attended the discussion. Challenges facing regulatory bodies included complicated adverse drug reactions (ADR) reporting forms, lack of feedback on ADRs submitted to the Saudi Food and Drug Authority, lack of decisions from the local authority to withdraw medications, and lack of data on pharmacovigilance. The challenges to pharmacovigilance in hospitals included the lack of knowledge of the significance of ADR reporting, workload, blaming culture, and lack of collaboration between regulatory bodies and hospitals. However, challenges facing pharmaceutical industries included the lack of drug manufacturers in Saudi Arabia and lack of interest in pharmacovigilance. Recommendations to improve pharmacovigilance included the need for communication, stronger regulatory requirements, the need for research, the need for unified ADRs reporting, and continuous education and training.  The study has identified the challenges facing pharmacovigilance in Saudi Arabia and made certain recommendations to overcome them. These recommendations might be helpful for regulatory bodies to enhance spontaneous reporting and promote pharmacovigilance.

  19. Soil Patterns Associated with the Major Geological Units of the Kruger National Park

    Directory of Open Access Journals (Sweden)

    F.J. Venter

    1986-11-01

    Full Text Available The dominant soil types of the Kruger National Park and their interrelationships with parent material, topography and climate are discussed. The geogenetic and topogenetic nature of the soils are manifested in the strong correlations between recurrent soil patterns, major geological units and terrain morphology. The soils are categorised into seven major classes on the basis of the parent material from which they developed. General soil patterns within the major classes are discussed.

  20. Facing Tomorrow's Challenges - An Overview

    Science.gov (United States)

    ,

    2008-01-01

    In 2007, the U.S. Geological Survey (USGS) developed a science strategy outlining the major natural-science issues facing the Nation in the next decade. The science strategy consists of six science directions of critical importance, focusing on areas where natural science can make a substantial contribution to the well-being of the Nation and the world. This fact sheet is an overview of the science strategy and describes how USGS research can strengthen the Nation with information needed to meet the challenges of the 21st century.

  1. Major ecosystems in China: dynamics and challenges for sustainable management.

    Science.gov (United States)

    Lü, Yihe; Fu, Bojie; Wei, Wei; Yu, Xiubo; Sun, Ranhao

    2011-07-01

    Ecosystems, though impacted by global environmental change, can also contribute to the adaptation and mitigation of such large scale changes. Therefore, sustainable ecosystem management is crucial in reaching a sustainable future for the biosphere. Based on the published literature and publicly accessible data, this paper discussed the status and trends of forest, grassland, and wetland ecosystems in China that play important roles in the ecological integrity and human welfare of the nation. Ecological degradation has been observed in these ecosystems at various levels and geographic locations. Biophysical (e.g., climate change) and socioeconomic factors (e.g., intensive human use) are the main reasons for ecosystem degradation with the latter factors serving as the dominant driving forces. The three broad categories of ecosystems in China have partially recovered from degradation thanks to large scale ecological restoration projects implemented in the last few decades. China, as the largest and most populated developing nation, still faces huge challenges regarding ecosystem management in a changing and globalizing world. To further improve ecosystem management in China, four recommendations were proposed, including: (1) advance ecosystem management towards an application-oriented, multidisciplinary science; (2) establish a well-functioning national ecological monitoring and data sharing mechanism; (3) develop impact and effectiveness assessment approaches for policies, plans, and ecological restoration projects; and (4) promote legal and institutional innovations to balance the intrinsic needs of ecological and socioeconomic systems. Any change in China's ecosystem management approach towards a more sustainable one will benefit the whole world. Therefore, international collaborations on ecological and environmental issues need to be expanded.

  2. Snow Leopard cloud : A multi-national education training and experimentation cloud and its security challenges

    NARCIS (Netherlands)

    Cayirci, E.; Rong, C.; Huiskamp, W.; Verkoelen, C.A.A.

    2009-01-01

    Military/civilian education training and experimentation networks (ETEN) are an important application area for the cloud computing concept. However, major security challenges have to be overcome to realize an ETEN. These challenges can be categorized as security challenges typical to any cloud and

  3. Source Water Protection Planning for Ontario First Nations Communities: Case Studies Identifying Challenges and Outcomes

    Directory of Open Access Journals (Sweden)

    Leslie Collins

    2017-07-01

    Full Text Available After the Walkerton tragedy in 2000, where drinking water contamination left seven people dead and many suffering from chronic illness, the Province of Ontario, Canada implemented policies to develop Source Water Protection (SWP plans. Under the Clean Water Act (2006, thirty-six regional Conservation Authorities were mandated to develop watershed-based SWP plans under 19 Source Protection Regions. Most First Nations in Ontario are outside of these Source Protection Regions and reserve lands are under Federal jurisdiction. This paper explores how First Nations in Ontario are attempting to address SWP to improve drinking water quality in their communities even though these communities are not part of the Ontario SWP framework. The case studies highlight the gap between the regulatory requirements of the Federal and Provincial governments and the challenges for First Nations in Ontario from lack of funding to implement solutions to address the threats identified in SWP planning. This analysis of different approaches taken by Ontario First Nations shows that the Ontario framework for SWP planning is not an option for the majority of First Nations communities, and does not adequately address threats originating on reserve lands. First Nations attempting to address on-reserve threats to drinking water are using a variety of resources and approaches to develop community SWP plans. However, a common theme of all the cases surveyed is a lack of funding to support implementing solutions for the threats identified by the SWP planning process. Federal government initiatives to address the chronic problem of boil water advisories within Indigenous communities do not recognize SWP planning as a cost-effective tool for improving drinking water quality.

  4. The Ruling Former National Liberation Movements in Zimbabwe, Namibia and South Africa and Challenges of National Reconciliation, Broad Participatory Democracy and Good Governance

    Directory of Open Access Journals (Sweden)

    - Ndali - Che Kamati

    2014-12-01

    Full Text Available The concept of national reconciliation became policy strategies in political discourse in Zimbabwe and Namibia after independence and South Africa after democratisation. The objective was to avoid the civil war experienced in neighbouring Angola and Mozambique after independence. Current argument however is that reconciliation mainly harmonising relations between blacks and whites and between the new government and capital is not sufficient. It is argued that reconciliation should fundamentally extent to the formerly deprived black majority the right of access to natural resource and addresses their economic well being. Political processes and developments in these three countries also reveal that settlement compromises made at independence and new democratic dispensation predicated on liberal constitutions followed by neo-liberal economic policies are sources of enormous governance challenges facing the leadership of these countries today.

  5. Analysis of National Major Work Safety Accidents in China, 2003-2012.

    Science.gov (United States)

    Ye, Yunfeng; Zhang, Siheng; Rao, Jiaming; Wang, Haiqing; Li, Yang; Wang, Shengyong; Dong, Xiaomei

    2016-01-01

    This study provides a national profile of major work safety accidents in China, which cause more than 10 fatalities per accident, intended to provide scientific basis for prevention measures and strategies to reduce major work safety accidents and deaths. Data from 2003-2012 Census of major work safety accidents were collected from State Administration of Work Safety System (SAWS). Published literature and statistical yearbook were also included to implement information. We analyzed the frequency of accidents and deaths, trend, geographic distribution and injury types. Additionally, we discussed the severity and urgency of emergency rescue by types of accidents. A total of 877 major work safety accidents were reported, resulting in 16,795 deaths and 9,183 injuries. The numbers of accidents and deaths, mortality rate and incidence of major accidents have declined in recent years. The mortality rate and incidence was 0.71 and 1.20 per 10(6) populations in 2012, respectively. Transportation and mining contributed to the highest number of major accidents and deaths. Major aviation and railway accidents caused more casualties per incident, while collapse, machinery, electrical shock accidents and tailing dam accidents were the most severe situation that resulted in bigger proportion of death. Ten years' major work safety accident data indicate that the frequency of accidents and number of eaths was declined and several safety concerns persist in some segments.

  6. Babesia major: protection of intact calves against homologous challenge by the injection of irradiated piroplasms

    International Nuclear Information System (INIS)

    Purnell, R.E.; Lewis, D.; Brocklesby, D.W.

    1979-01-01

    Blood from a splenectomized calf infected with Babesia major was divided into 20 ml aliquots which were γ-irradiated at doses of 0, 23.3, 27.3, 31.4, 35.4 and 39.5 krad and then inoculated into groups of three intact calves. Animals receiving non-irradiated blood had typical mild B. major reactions, but those receiving blood irradiated at 23.3, 27.3 and 31.4 krad and 2 of 3 receiving blood irradiated at 35.4 krad had minimal reactions. The remaining 4 animals had no detectable parasitaemic reactions. When the calves were challenged with a similar number (6.0 x 10 9 ) of homologous parasites, they were all immune with the exception of the 4 animals which had not reacted initially. The immune status of individual cattle was reflected accurately in the results of the micro-ELISA test, which detected a significant rise in serum antibody titre of the 4 susceptible animals 7 days after challenge. (author)

  7. Babesia major: protection of intact calves against homologous challenge by the injection of irradiated piroplasms

    Energy Technology Data Exchange (ETDEWEB)

    Purnell, R E; Lewis, D; Brocklesby, D W [Agricultural Research Council, Compton (UK). Inst. for Research on Animal Diseases

    1979-02-01

    Blood from a splenectomized calf infected with Babesia major was divided into 20 ml aliquots which were ..gamma..-irradiated at doses of 0, 23.3, 27.3, 31.4, 35.4 and 39.5 krad and then inoculated into groups of three intact calves. Animals receiving non-irradiated blood had typical mild B. major reactions, but those receiving blood irradiated at 23.3, 27.3 and 31.4 krad and 2 of 3 receiving blood irradiated at 35.4 krad had minimal reactions. The remaining 4 animals had no detectable parasitaemic reactions. When the calves were challenged with a similar number (6.0 x 10/sup 9/) of homologous parasites, they were all immune with the exception of the 4 animals which had not reacted initially. The immune status of individual cattle was reflected accurately in the results of the micro-ELISA test, which detected a significant rise in serum antibody titre of the 4 susceptible animals 7 days after challenge.

  8. Eliminate the Army and Air Force Reserves: Building a Robust National Guard to Meet 21st Century Operational Challenges

    Science.gov (United States)

    2016-04-04

    TITLE AND SUBTITLE ELIMINATE THE ARMY AND AIR FORCE RESERVES: BUILDING A ROBUST NATIONAL GUARD TO MEET 21ST CENTURY OPERATIONAL CHALLENGES 5a...STAFF COLLEGE JOINT ADVANCED WARFIGHTING SCHOOL ELIMINATE THE ARMY AND AIR FORCE RESERVES: BUILDING A ROBUST NATIONAL GUARD TO... ELIMINATE THE ARMY AND AIR FORCE RESERVES: BUILDING A ROBUST NATIONAL GUARD TO MEET 21ST CENTURY OPERATIONAL CHALLENGES by

  9. What Are the Lived Challenges Experienced by Black Females in a STEM Doctoral Program at a Majority White Institution?

    Science.gov (United States)

    Cleare, Sharlane S.

    The purpose of this study is to explore the challenges experienced by Black female STEM doctoral students at a Majority White Institution. This study examined how, and to what extent did the Majority White Institution's STEM environment influenced such challenges. The qualitative phenomenological approach to this investigation utilized the lenses of Black Feminist Thought and Critical Race Feminism Theoretical Frameworks as interconnected lenses by which to conceptualize this phenomenon. This study answered the following question: What are the lived challenges experienced by Black female in a STEM doctoral program at a Majority White Institution? Purposeful and snowball sampling were employed to recruit participants for this investigation. Both sampling methods were selected because of their wide use in qualitative investigations, as well as their proven ability to precisely source quality participants (Biernacki, & Waldorf,1981; Palinkas, Horwitz, Green, Wisdom, Duan, & Hoagwood, (2015). Observations, in-depth semi-structured interviews, and focus groups were conducted with eleven (11) Black females STEM doctoral students currently studying at a large Majority White Institution in the Midwest. The findings from this study suggest that this is a phenomenon worthy of considerable attention. Research in the area of Black females in STEM doctoral programs at Majority White Institutions can be further expanded and updated. Therefore, this study will contribute and supplement existing literature on Black females in STEM doctoral programs at Majority White Institutions. Most importantly, the results obtained from this study can assist Majority White Institutions in the development and enhancement of programs and policies specifically geared towards addressing the needs of this underrepresented minority population segment.

  10. The Politico-Economic Challenges of Ghana's National Health Insurance Scheme Implementation.

    Science.gov (United States)

    Fusheini, Adam

    2016-04-27

    National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs) as a vehicle to universal health coverage (UHC) and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS) as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI) legislation (ACT 650) in 2003 and commenced nationwide implementation in 2004. Several peer review studies and other research reports have since assessed the performance of the scheme with positive rating while challenges also noted. This paper contributes to the literature on economic and political implementation challenges based on empirical evidence from the perspectives of the different category of actors and institutions involved in the process. Qualitative in-depth interviews were held with 33 different category of participants in four selected district mutual health insurance schemes in Southern (two) and Northern (two) Ghana. This was to ascertain their views regarding the main challenges in the implementation process. The participants were selected through purposeful sampling, stakeholder mapping, and snowballing. Data was analysed using thematic grouping procedure. Participants identified political issues of over politicisation and political interference as main challenges. The main economic issues participants identified included low premiums or contributions; broad exemptions, poor gatekeeper enforcement system; and culture of curative and hospital-centric care. The study establishes that political and economic factors have influenced the implementation process and the degree to which the policy has been implemented as intended. Thus, we conclude that there is a synergy between implementation and politics; and achieving UHC under the NHIS requires political stewardship. Political

  11. Catalan Nationalism and Challenges to the Territorial Integrity of Spain

    Directory of Open Access Journals (Sweden)

    G. I. Volkova

    2016-01-01

    Full Text Available At the beginning of the 21st century Spain faced a number of challenges, primarily the growth of separatist sentiments in the regions fraught with the danger of its fragmentation on ethno-national basis. In the context of increased ethno-national mobilization of “small peoples” in Spain one of its most economically developed regions – Catalonia – envisages a rise of the regional identity. Against the backdrop of economic problems generated by the crisis of 2008-2014 the autonomous communities of Spain, including Catalonia, came across the rise of socio-political problems, particularly the growing distance between the society and the central administrative bodies formed in democratic conditions, as well as the two-party administrative system.

  12. International and Domestic Challenges to Comprehensive National Cybersecurity: A Case Study of the Czech Republic

    Directory of Open Access Journals (Sweden)

    Nadiya Kostyuk

    2014-04-01

    Full Text Available While many countries and companies have fallen victim to cyber attacks over the past few years, including American companies such as Apple, Microsoft, and Facebook, Czech websites remained relatively safe until March 2013, when they were interrupted by a series of cyber attacks. Even though the origin of the attacks remains debatable, this case study demonstrates the importance of cooperation between nations in the nascent phase of the internet development and their more powerful allies. Domestic challenges that nations face in addressing cybersecurity in an effective and comprehensive manner include ambiguous legislation, recalcitrant officials, and a lack of both fiscal and human capital. To address these challenges, nations should cooperate with their more capable allies, such as the EU and NATO, create better cyber protective measures, train and hire qualified specialists in the public sector, and intensify private-public partnership. Until an international agenda on cyberspace is set, these nations with limited resources should cooperate with developed nations lest they risk more severe attacks in the future.

  13. Rate and Predictors of Persistent Major Depressive Disorder in a Nationally Representative Sample.

    Science.gov (United States)

    Walker, Elizabeth Reisinger; Druss, Benjamin G

    2015-08-01

    This study examined predictors of persistent major depressive disorder over 10 years, focusing on the effects of clinical variables, physical health, and social support. Data from the National Survey of Midlife Development in the United States in 1995-1996 and 2004-2006 were analyzed. Logistic regression was used to predict non-recovery from major depression among individuals who met clinical-based criteria for major depressive disorder at baseline. Fifteen percent of the total sample was classified as having major depression in 1995-1996; of these individuals, 37 % had major depression in 2004-2006. Baseline variables that were significantly associated with persistent major depression at follow-up were being female, having never married, having two or more chronic medical conditions, experiencing activity limitation, and less contact with family. Therefore, treatment strategies focused on physical health, social support, and mental health needs are necessary to comprehensively address the factors that contribute to persistent major depressive disorder.

  14. Multilevel governance challenges in transitioning towards a national approach for REDD+: evidence from 23 subnational REDD+ initiatives

    Directory of Open Access Journals (Sweden)

    Ashwin Ravikumar

    2015-09-01

    Full Text Available Although REDD+ was conceived as a national approach to reducing emissions from deforestation and degradation, many of the early advances have been at the subnational level. It is critical to link these subnational efforts to emerging national REDD+ frameworks, including with respect to finance and benefit distribution, setting reference levels, measurement, reporting and verification (MRV, land policy and safeguards. We use evidence from interviews with proponents from 23 subnational REDD+ initiatives in six countries to characterize the multilevel governance challenges for REDD+. We analyse the differences in perceived challenges between subnational jurisdictional programs and project-based initiatives, and then analyse proponents’ perceptions of the relationship between government policies at multiple levels and these REDD+ initiatives. We find important multilevel governance challenges related to vertical coordination and information sharing and horizontal and inter-sectoral tensions, as well as concerns over accountability, equity and justice. Though the shift to a nested, jurisdictional or national REDD+ is sometimes approached as a technical design issue, this must be accompanied by an understanding of the interests and power relations among actors at different levels. We outline challenges and suggest priority areas for future research and policy, as countries move towards a national REDD+ system.

  15. Surety of the nation`s critical infrastructures: The challenge restructuring poses to the telecommunications sector

    Energy Technology Data Exchange (ETDEWEB)

    Cox, R.; Drennen, T.E.; Gilliom, L.; Harris, D.L.; Kunsman, D.M.; Skroch, M.J.

    1998-04-01

    The telecommunications sector plays a pivotal role in the system of increasingly connected and interdependent networks that make up national infrastructure. An assessment of the probable structure and function of the bit-moving industry in the twenty-first century must include issues associated with the surety of telecommunications. The term surety, as used here, means confidence in the acceptable behavior of a system in both intended and unintended circumstances. This paper outlines various engineering approaches to surety in systems, generally, and in the telecommunications infrastructure, specifically. It uses the experience and expectations of the telecommunications system of the US as an example of the global challenges. The paper examines the principal factors underlying the change to more distributed systems in this sector, assesses surety issues associated with these changes, and suggests several possible strategies for mitigation. It also studies the ramifications of what could happen if this sector became a target for those seeking to compromise a nation`s security and economic well being. Experts in this area generally agree that the U. S. telecommunications sector will eventually respond in a way that meets market demands for surety. Questions remain open, however, about confidence in the telecommunications sector and the nation`s infrastructure during unintended circumstances--such as those posed by information warfare or by cascading software failures. Resolution of these questions is complicated by the lack of clear accountability of the private and the public sectors for the surety of telecommunications.

  16. Relationship of personality disorders to the course of major depressive disorder in a nationally representative sample.

    Science.gov (United States)

    Skodol, Andrew E; Grilo, Carlos M; Keyes, Katherine M; Geier, Timothy; Grant, Bridget F; Hasin, Deborah S

    2011-03-01

    The purpose of this study was to examine the effects of specific personality disorder comorbidity on the course of major depressive disorder in a nationally representative sample. Data were drawn from 1,996 participants in a national survey. Participants who met criteria for major depressive disorder at baseline in face-to-face interviews (in 2001-2002) were reinterviewed 3 years later (in 2004-2005) to determine persistence and recurrence. Predictors included all DSM-IV personality disorders. Control variables included demographic characteristics, other axis I disorders, family and treatment histories, and previously established predictors of the course of major depressive disorder. A total of 15.1% of participants had persistent major depressive disorder, and 7.3% of those who remitted had a recurrence. Univariate analyses indicated that avoidant, borderline, histrionic, paranoid, schizoid, and schizotypal personality disorders all elevated the risk for persistence. With axis I comorbidity controlled, all personality disorders except histrionic personality disorder remained significant. With all other personality disorders controlled, borderline and schizotypal disorders remained significant predictors. In final, multivariate analyses that controlled for age at onset of major depressive disorder, the number of previous episodes, duration of the current episode, family history, and treatment, borderline personality disorder remained a robust predictor of major depressive disorder persistence. Neither personality disorders nor other clinical variables predicted recurrence. In this nationally representative sample of adults with major depressive disorder, borderline personality disorder robustly predicted persistence, a finding that converges with recent clinical studies. Personality psychopathology, particularly borderline personality disorder, should be assessed in all patients with major depressive disorder, considered in prognosis, and addressed in treatment.

  17. Relationship of Personality Disorders to the Course of Major Depressive Disorder in a Nationally Representative Sample

    Science.gov (United States)

    Skodol, Andrew E.; Grilo, Carlos M.; Keyes, Katherine; Geier, Timothy; Grant, Bridget F.; Hasin, Deborah S.

    2011-01-01

    Objective The purpose of this study was to examine the effects of specific personality disorder co-morbidity on the course of major depressive disorder in a nationally-representative sample. Method Data were drawn from 1,996 participants in a national survey. Participants who met criteria for major depressive disorder at baseline in face-to-face interviews (2001–2002) were re-interviewed three years later (2004–2005) to determine persistence and recurrence. Predictors included all DSM-IV personality disorders. Control variables included demographic characteristics, other Axis I disorders, family and treatment histories, and previously established predictors of the course of major depressive disorder. Results 15.1% of participants had persistent major depressive disorder and 7.3% of those who remitted had a recurrence. Univariate analyses indicated that avoidant, borderline, histrionic, paranoid, schizoid, and schizotypal personality disorders all elevated the risk for persistence. With Axis I co-morbidity controlled, all but histrionic personality disorder remained significant. With all other personality disorders controlled, borderline and schizotypal remained significant predictors. In final, multivariate analyses that controlled for age at onset of major depressive disorder, number of previous episodes, duration of current episode, family history, and treatment, borderline personality disorder remained a robust predictor of major depressive disorder persistence. Neither personality disorders nor other clinical variables predicted recurrence. Conclusions In this nationally-representative sample of adults with major depressive disorder, borderline personality disorder robustly predicted persistence, a finding that converges with recent clinical studies. Personality psychopathology, particularly borderline personality disorder, should be assessed in all patients with major depressive disorder, considered in prognosis, and addressed in treatment. PMID:21245088

  18. Challenges and Opportunities To Achieve 50% Energy Savings in Homes: National Laboratory White Papers

    Energy Technology Data Exchange (ETDEWEB)

    Bianchi, M. V. A.

    2011-07-01

    In 2010, researchers from four of the national laboratories involved in residential research (Lawrence Berkeley National Laboratory, National Renewable Energy Laboratory, Oak Ridge National Laboratory, and Pacific Northwest National Laboratory) were asked to prepare papers focusing on the key longer term research challenges, market barriers, and technology gaps that must be addressed to achieve the longer term 50% saving goal for Building America to ensure coordination with the Building America industry teams who are focusing their research on systems to achieve the near-term 30% savings goal. Although new construction was included, the focus of the effort was on deep energy retrofits of existing homes. This report summarizes the key opportunities, gaps, and barriers identified in the national laboratory white papers.

  19. Challenges in Implementing IAEA National Nuclear Safety Knowledge Platforms

    International Nuclear Information System (INIS)

    Samba, R.N.; Simo, A.

    2016-01-01

    Full text: Integrated Management Systems and human resource development of nuclear knowledge have always been a challenge for developing countries. NRPA staff when trained by IAEA return and restitute with all colleagues the themes acquired in nuclear knowledge. NRPA became a member of Forum for Nuclear Regulatory Bodies in Africa (FNRBA) in 2009. FNRBA organized with IAEA a workshop from 14th to 18th October 2013 in Nairobi, Kenya on Knowledge Safety Network. NRPA of Cameroon created the first National Nuclear Portail under FNRBA. This was linked to other national websites. During the IAEA review missions, most counterparts took opportunity from the thermatic site to share information and develop advance reference materials. The IAEA Integrated Regulatory Review Service (IRRS) team also shared materials that could not be transferred through email with national counterparts using the Global Nuclear Safety and Security Network (GNSSN) sharepoint website due to large file sizes.The regulatory documents have been uploaded on the platform and can be accessed through FNRBA and NRPA website (www.anrp.cm). UN organizations implementing projects in Cameroon are also linked to the platform. The action plans and progress reports for IAEA/AFRA projects are also available. Moreover, NRPA regulatory activities and licensing sources are available on this platform. (author

  20. Analysis of National Major Work Safety Accidents in China, 2003–2012

    Science.gov (United States)

    YE, Yunfeng; ZHANG, Siheng; RAO, Jiaming; WANG, Haiqing; LI, Yang; WANG, Shengyong; DONG, Xiaomei

    2016-01-01

    Background: This study provides a national profile of major work safety accidents in China, which cause more than 10 fatalities per accident, intended to provide scientific basis for prevention measures and strategies to reduce major work safety accidents and deaths. Methods: Data from 2003–2012 Census of major work safety accidents were collected from State Administration of Work Safety System (SAWS). Published literature and statistical yearbook were also included to implement information. We analyzed the frequency of accidents and deaths, trend, geographic distribution and injury types. Additionally, we discussed the severity and urgency of emergency rescue by types of accidents. Results: A total of 877 major work safety accidents were reported, resulting in 16,795 deaths and 9,183 injuries. The numbers of accidents and deaths, mortality rate and incidence of major accidents have declined in recent years. The mortality rate and incidence was 0.71 and 1.20 per 106 populations in 2012, respectively. Transportation and mining contributed to the highest number of major accidents and deaths. Major aviation and railway accidents caused more casualties per incident, while collapse, machinery, electrical shock accidents and tailing dam accidents were the most severe situation that resulted in bigger proportion of death. Conclusion: Ten years’ major work safety accident data indicate that the frequency of accidents and number of eaths was declined and several safety concerns persist in some segments. PMID:27057515

  1. Uganda's National Transmission Backbone Infrastructure Project: Technical Challenges and the Way Forward

    Science.gov (United States)

    Bulega, T.; Kyeyune, A.; Onek, P.; Sseguya, R.; Mbabazi, D.; Katwiremu, E.

    2011-10-01

    Several publications have identified technical challenges facing Uganda's National Transmission Backbone Infrastructure project. This research addresses the technical limitations of the National Transmission Backbone Infrastructure project, evaluates the goals of the project, and compares the results against the technical capability of the backbone. The findings of the study indicate a bandwidth deficit, which will be addressed by using dense wave division multiplexing repeaters, leasing bandwidth from private companies. Microwave links for redundancy, a Network Operation Center for operation and maintenance, and deployment of wireless interoperability for microwave access as a last-mile solution are also suggested.

  2. Climate-Change Impacts on Major Societal and Environmental Sectors: a National View

    Science.gov (United States)

    Melillo, J. M.

    2009-05-01

    The U.S. Climate Change Science Program's Unified Synthesis Product reports on extant and possible future impacts of climate change for seven sectors at the national level - water resources, energy supply and use, transportation, agriculture, ecosystems, human health and society. The sectoral analyses provide an integrated national picture of the climate-change consequences, now and in the future, for society and the environment, albeit a picture with regional texture. Major report findings for each sector will be presented. In addition to the specific sectoral findings, several overarching messages emerge from this component of the synthesis activity. First, it is important to think about interactions between and among sectors with regard to climate impacts. For example, the projected changes in the timing and amount of precipitation, and hence water supply, will very likely have significant implications for other sectors considered in the report. Changes in water supply have the potential to affect hydropower generation, river transportation, crop timing and management, in-stream ecosystem services including fish habitat, and human health issues related to links between heavy rains ad water-borne diseases. Second, the report concludes that climate-change impacts on the sectors must be considered in the context of a range of environmental and social factors including pollution, population growth, over use of resources, and urbanization. The multi-factor analysis provides insight into our understanding of where, when and how climate change combines with other environmental and social changes to affect the sectors. It also provides some understanding of how these interactions can either amplify or dampen climate-change impacts. This message has profound implications for the design of research programs and information systems at the national, regional and local levels. Furthermore, it demands that a true partnership be forged between the natural and social sciences

  3. The Politico-Economic Challenges of Ghana’s National Health Insurance Scheme Implementation

    Directory of Open Access Journals (Sweden)

    Adam Fusheini

    2016-09-01

    Full Text Available Background National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs as a vehicle to universal health coverage (UHC and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI legislation (ACT 650 in 2003 and commenced nationwide implementation in 2004. Several peer review studies and other research reports have since assessed the performance of the scheme with positive rating while challenges also noted. This paper contributes to the literature on economic and political implementation challenges based on empirical evidence from the perspectives of the different category of actors and institutions involved in the process. Methods Qualitative in-depth interviews were held with 33 different category of participants in four selected district mutual health insurance schemes in Southern (two and Northern (two Ghana. This was to ascertain their views regarding the main challenges in the implementation process. The participants were selected through purposeful sampling, stakeholder mapping, and snowballing. Data was analysed using thematic grouping procedure. Results Participants identified political issues of over politicisation and political interference as main challenges. The main economic issues participants identified included low premiums or contributions; broad exemptions, poor gatekeeper enforcement system; and culture of curative and hospital-centric care. Conclusion The study establishes that political and economic factors have influenced the implementation process and the degree to which the policy has been implemented as intended. Thus, we conclude that there is a synergy between implementation and politics; and achieving UHC under

  4. The 2011 Green Paper on Land Reform: Opportunities and Challenges - The National African Farmers Union (NAFU SA

    Directory of Open Access Journals (Sweden)

    Motsepe Matlala

    2014-05-01

    Full Text Available Motsepe Matlala, the President of the National African Farmers Union gave an illuminating oratio on the opportunities and challenges of the 2011 Green Paper on Land Reform for the National African Farmers Union (NAFU SA

  5. How to Maintain Creativity in Social Studies: Challenges for the Professional Organization.

    Science.gov (United States)

    Hahn, Carole L.

    Social studies educators must marshal all creative resources to meet the global, national, and personal challenges that face them as members of the major social studies professional organization, the National Council for the Social Studies (NCSS). Based on a continuation of current policies and lifestyles, dramatic global changes such as…

  6. Security challenges in integration of a PHR-S into a standards based national EHR.

    Science.gov (United States)

    Mense, Alexander; Hoheiser Pförtner, Franz; Sauermann, Stefan

    2014-01-01

    Health related data provided by patients themselves is expected to play a major role in future healthcare. Data from personal health devices, vaccination records, health diaries or observations of daily living, for instance, is stored in personal health records (PHR) which are maintained by personal health record systems (PHR-S). Combining this information with medical records provided by healthcare providers in electronic health records (EHR) is one of the next steps towards "personal care". Austria currently sets up a nationwide EHR system that incorporates all healthcare providers and is technically based on international standards (IHE, HL7, OASIS, ...). Looking at the expected potential of merging PHR and EHR data it is worth to analyse integration approaches. Although knowing that an integration requires the coordination of processes, information models and technical architectures, this paper specifically focuses on security issues by evaluating general security requirements for a PHR-S (based on HL7 PHR-S FM), comparing them with the information security specifications for the Austrian's national EHR (based on ISO/IES 27000 series) and identifying the main challenges as well as possible approaches.

  7. Nation/non-nation

    DEFF Research Database (Denmark)

    Sonnichsen, André; Gad, Ulrik Pram

    2008-01-01

    Is nationality the only way of organizing political community? Given the ubiquity of the national principle, one might think so. But, in practice, the national principle is constantly challenged by what can be termed non-national identities. This article looks at manners in which such deviating...... identities can be conceptualized, how contemporary European states have attempted to deal with them when they arise and to what extent non-national modes of organizing political community can point towards a challenge to the national principle itself. In its capacity as an introduction to the special issue......, this article seeks to frame the subsequent articles within the overarching theme of the tension between national and non-national communities in contemporary Europe....

  8. Natural Hazard Resilience - A Large-scale Transdisciplinary "National Science Challenge" for New Zealand

    Science.gov (United States)

    Cronin, S. J.

    2017-12-01

    The National Science Challenges are initiatives to address the most important public science issues that face New Zealand with long-term funding and the combined strength of a coordinated science-sector behind them. Eleven major topics are tackled, across our human, natural and built environments. In the "Resilience Challenge" we address New Zealand's natural hazards. Alongside severe metrological threats, New Zealand also faces one of the highest levels of earthquake and volcanic hazard in the world. Resilience is a hotly discussed concept, here, we take the view: Resilience encapsulates the features of a system to anticipate threats, acknowledge there will be impacts (no matter how prepared we are), quickly pick up the pieces, as well as learn and adapt from the experience to better absorb and rebound from future shocks. Our research must encompass innovation in building and lifelines engineering, planning and regulation, emergency management practice, alongside understanding how our natural hazard systems work, how we monitor them and how our communities/governance/industries can be influenced and encouraged (e.g., via economic incentives) to develop and implement resilience practice. This is a complex interwoven mix of areas and is best addressed through case-study areas where researchers and the users of the research can jointly identify problems and co-develop science solutions. I will highlight some of the strengths and weaknesses of this coordinated approach to an all-hazard, all-country problem, using the example of the Resilience Challenge approach after its first two and a half years of operation. Key issues include balancing investment into high-profile (and often high consequence), but rare hazards against the frequent "monthly" hazards that collectively occupy regional and local governance. Also, it is clear that despite increasingly sophisticated hazard and hazard mitigation knowledge being generated in engineering and social areas, a range of policy

  9. Sustainable Digital Environments: What Major Challenges Is Humankind Facing?

    Directory of Open Access Journals (Sweden)

    Roland W. Scholz

    2016-07-01

    Full Text Available This paper identifies and discusses the benefits, threats, and vulnerabilities related to the digital revolution. It aims to motivate research and its funding regarding digital threats and vulnerabilities related, in particular, to anticipating unintended, undesirable rebound effects, tipping points, critically fast evolutionary change rates, trade-offs, etc. A brief analysis of the history of the mind and technology reveals slow technological development over tens of thousands of years (including the invention of a place-value digital number system. Then, a small series of groundbreaking ideas (e.g., binary logic, Shannon’s symbolic analysis of relay and switching circuits, architectures of computing enabled the industry-driven invention of programmable computing machines. Ultimately, the mastery of electron and semiconductor physics allowed for economical and seemingly unlimited storage capacity that made digital tools available to all domains of society. Based on the historical analysis, a coupled human-environment systems perspective (that includes a hierarchy assumption ranging from the human cell to the human species enables the identification of several potential challenges to society and science. First, digital nano-engineering promotes genetic modifications (i.e., directed evolution, and synthetic biology enables a new level of the appropriation of nature. The understanding of cell-based biocomputers may call for new forms of logic. These and other challenges require thorough sustainability research in order to anticipate major changes on all levels of human systems. Second, the human individual is exposed to new forms of vulnerability. In particular, the potential epigenetic effects resulting from the excessive use of digital information of historically unknown speed, density, and contents and the loss of (the Western common-law right to privacy resulting from big data (whose ownership is often unknown should become subjects of

  10. Community-based post-stroke service provision and challenges: a national survey of managers and inter-disciplinary healthcare staff in Ireland

    Directory of Open Access Journals (Sweden)

    Hickey Anne

    2012-05-01

    Full Text Available Abstract Background The extent of stroke-related disability typically becomes most apparent after patient discharge to the community. As part of the Irish National Audit of Stroke Care (INASC, a national survey of community-based allied health professionals and public health nurses was conducted. The aim was to document the challenges to service availability for patients with stroke in the community and to identify priorities for service improvement. Methods The study was a cross-sectional tailored interview survey with key managerial and service delivery staff. As comprehensive listings of community-based health professionals involved in stroke care were not available, a cascade approach to information gathering was adopted. Representative regional managers for services incorporating stroke care (N = 7 and disciplinary allied health professional and public health nurse managers (N = 25 were interviewed (94% response rate. Results Results indicated a lack of formal, structured community-based services for stroke, with no designated clinical posts for stroke care across disciplines nationally. There was significant regional variation in availability of allied health professionals. Considerable inequity was identified in patient access to stroke services, with greater access, where available, for older patients (≥ 65 years. The absence of a stroke strategy and stroke prevalence statistics were identified as significant impediments to service planning, alongside organisational barriers limiting the recruitment of additional allied health professional staff, and lack of sharing of discipline-specific information on patients. Conclusions This study highlighted major gaps in the provision of inter-disciplinary team community-based services for people with stroke in one country. Where services existed, they were generic in nature, rarely inter-disciplinary in function and deficient in input from salient disciplines. Challenges to optimal care

  11. Community-based post-stroke service provision and challenges: a national survey of managers and inter-disciplinary healthcare staff in Ireland

    Science.gov (United States)

    2012-01-01

    Background The extent of stroke-related disability typically becomes most apparent after patient discharge to the community. As part of the Irish National Audit of Stroke Care (INASC), a national survey of community-based allied health professionals and public health nurses was conducted. The aim was to document the challenges to service availability for patients with stroke in the community and to identify priorities for service improvement. Methods The study was a cross-sectional tailored interview survey with key managerial and service delivery staff. As comprehensive listings of community-based health professionals involved in stroke care were not available, a cascade approach to information gathering was adopted. Representative regional managers for services incorporating stroke care (N = 7) and disciplinary allied health professional and public health nurse managers (N = 25) were interviewed (94% response rate). Results Results indicated a lack of formal, structured community-based services for stroke, with no designated clinical posts for stroke care across disciplines nationally. There was significant regional variation in availability of allied health professionals. Considerable inequity was identified in patient access to stroke services, with greater access, where available, for older patients (≥ 65 years). The absence of a stroke strategy and stroke prevalence statistics were identified as significant impediments to service planning, alongside organisational barriers limiting the recruitment of additional allied health professional staff, and lack of sharing of discipline-specific information on patients. Conclusions This study highlighted major gaps in the provision of inter-disciplinary team community-based services for people with stroke in one country. Where services existed, they were generic in nature, rarely inter-disciplinary in function and deficient in input from salient disciplines. Challenges to optimal care included the need for

  12. Mapuche nation: Concept, history and challenges present in Gulumapu-Araucanía

    Directory of Open Access Journals (Sweden)

    Samuel San Juan Rebolledo

    2017-07-01

    Full Text Available This article deals with the problems of the Mapuche nation; as a concept, as a historical view in contrast to the Chilean political nation and the current challenges of the Mapuche movement. This analysis will be performed in three stages, in the first, we will look at the importance of conceptual history as a historiographic method forgaining more precise access to the conceptual categories that relate to historical time, assessing their scope and significance. Secondly, we will carry out a thorough investigation of the literature to find out what are the different meanings of the concept of ‘nation’, the various existing trends of interpretation and the theoretical contributions in order to approach the problems of the Mapuche nation, in this space of the Andes, Gulumapu-Araucanía. Finally, we will review some of the view points of Mapuche intellectuals who address the problems of the Mapuche nation, including readings on ethnicity and colonialism, in order to quantify their theoretical contribution to the mapuche movement.

  13. Identification of hazelnut major allergens in sensitive patients with positive double-blind, placebo-controlled food challenge results

    DEFF Research Database (Denmark)

    Pastorello, Elide A; Vieths, Stefan; Pravettoni, Valerio

    2002-01-01

    The hazelnut major allergens identified to date are an 18-kd protein homologous to Bet v 1 and a 14-kd allergen homologous to Bet v 2. No studies have reported hazelnut allergens recognized in patients with positive double-blind, placebo-controlled food challenge (DBPCFC) results or in patients...

  14. Adult education and the challenges of regional development:

    DEFF Research Database (Denmark)

    Rasmussen, Palle Damkjær; Staugaard, Hans Jørgen

    2016-01-01

    of the Danish nation-state. In many ways, the current educational challenges in this remote region of Europe are similar to what can be observed worldwide and especially in countries which are generally considered welfare states. The authors see the growing social and educational divide between the region......Adult education is governed at many levels – internationally, nationally and locally. The authors of this paper look at the challenges, structures and practices of adult education policy at the local level, more specifically in North Denmark Northern Jutland), one of the five administrative regions......’s peripheral areas and its largest city centre as a major challenge – for society as a whole and for adult education in particular. It is from this perspective that the authors describe the present structures of adult education in the region and the strategies employed by local authorities and educational...

  15. National health insurance policy in Nepal: challenges for implementation

    Directory of Open Access Journals (Sweden)

    Shiva Raj Mishra

    2015-08-01

    Full Text Available The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9% and rural (59% discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015, the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  16. Privatization of Electricity Service Delivery in Developing Nations: Issues and Challenges

    Directory of Open Access Journals (Sweden)

    Olamide Eniola Victor

    2015-09-01

    Full Text Available The provision of public utilities and infrastructures particularly electricity by the public sector (Government especially in the Developing Nations has been heavily criticized. This has been attributed to many reasons including poor electricity supply, poor distribution of service delivery of electricity due to the absence of spatial planning, insufficient government investment into the power industry, ineptitude operation on the part of the technicians, poor administration and managerial control. However, efforts to move away from government ownership, control or participation in this sector of economy towards free enterprise and increased inclusive private sector participation known as privatization, has been adopted as one of the solutions. This paper presents a critical review of privatization practices of alternative Service Delivery approach of selected Asian and African nations. The paper would elicit the common variants of privatization models adopted by these nations and the different implementation strategies which resulted in divergence in effectiveness and efficiency in the service delivery of electricity. The selected Asian countries are; Malaysia, India, and China, while the selected African nations are Nigeria, Cameroun and South Africa. The paper will draw from the literatures the various approaches, concepts adopted, practices, issues and challenges faced by these countries.

  17. National rural drinking water monitoring: progress and challenges with India's IMIS database

    OpenAIRE

    Wescoat, James; Fletcher, Sarah Marie; Novellino, Marianna

    2015-01-01

    National drinking water programs seek to address monitoring challenges that include self-reporting, data sampling, data consistency and quality, and sufficient frequency to assess the sustainability of water systems. India stands out for its comprehensive rural water database known as Integrated Management Information System (IMIS), which conducts annual monitoring of drinking water coverage, water quality, and related program components from the habitation level to the district, state, and n...

  18. Morbidly obese patient with obstructive sleep apnoea for major spine surgery: An anaesthetic challenge

    Directory of Open Access Journals (Sweden)

    Shruti Redhu

    2016-01-01

    Full Text Available Morbidly obese patients with clinical features of obstructive sleep apnoea can present a myriad of challenges to the anaesthesiologists which must be addressed to minimise the perioperative risks. Initiation of continuous positive airway pressure (CPAP therapy early in the pre- and post-operative period along with appropriate anaesthetic planning is of paramount importance in such patients. This case report emphasises the usefulness of CPAP therapy, even for a short duration, to minimise morbidity, improve recovery and hasten early discharge from the hospital after major surgery.

  19. Nation state and the challenge of globalization: Project draft

    Directory of Open Access Journals (Sweden)

    Obrenović Zoran G.

    2002-01-01

    Full Text Available This project draft discusses the issues facing a nation state in the dynamic processes of globalization. First, the term globalization is tentatively defined as a decentralized process of condensation and homogenization of space and time. Then, the ambivalent structure of the globalization discourse, i.e. its semantic and pragmatic dimensions, are shown. The neo-liberal viewpoint is explored of the erosion and weakening of the nation state within the global capitalist power, both in terms of its (state's traditional functions, and in terms of its internal and external sovereignty. Against the neo-liberal thesis about the decline of the nation state many empirical arguments have been offered. Some of these are presented in this text. The main point of this argumentation consists in a general view that the decline of the nation state is strongly linked with the process of globalization. In view of the critical argumentation included in the paper, it is argued that in the environment of global processes only the societies which have a strong state behind them have a chance to succeed. Politics, not economy, still dominates international relations. Emphasis on state politics opens a new perspective in discussing the process of globalization. Current globalization processes cannot be judged accurately unless geopolitical interests and the changing balance of world power are understood. Finally, the paper points to the ideological nature of the neo-liberal discourse of globalization, questioning another basic assumption of the latter, namely, the idea that the process of globalization is at the same time a process of emancipation. By challenging the positing of a necessary link between globalization and emancipation we formulate a position that allows for a normative critique of current processes.

  20. Characterization optimization for the National TRU waste system

    International Nuclear Information System (INIS)

    Basabilvazo, George T.; Countiss, S.; Moody, D.C.; Jennings, S.G.; Lott, S.A.

    2002-01-01

    On March 26, 1999, the Waste Isolation Pilot Plant (WIPP) received its first shipment of transuranic (TRU) waste. On November 26, 1999, the Hazardous Waste Facility Permit (HWFP) to receive mixed TRU waste at WIPP became effective. Having achieved these two milestones, facilitating and supporting the characterization, transportation, and disposal of TRU waste became the major challenges for the National TRU Waste Program. Significant challenges still remain in the scientific, engineering, regulatory, and political areas that need to be addressed. The National TRU Waste System Optimization Project has been established to identify, develop, and implement cost-effective system optimization strategies that address those significant challenges. Fundamental to these challenges is the balancing and prioritization of potential regulatory changes with potential technological solutions. This paper describes some of the efforts to optimize (to make as functional as possible) characterization activities for TRU waste.

  1. Qualitative analysis of national documents on health care services and pharmaceuticals` purchasing challenges: evidence from Iran.

    Science.gov (United States)

    Bastani, Peivand; Samadbeik, Mahnaz; Dinarvand, Rassoul; Kashefian-Naeeini, Sara; Vatankhah, Soudabeh

    2018-06-05

    Iranian health sector encountered many challenges in resource allocation and health service purchasing during the past decades, the aim of this study was to determine the main challenges of the present process of health service purchasing for national policymakers and other developing countries with the same setting. It was a qualitative study carried out via the complete content analysis of all relevant national documents from 2007 to 2014. In order to retrieve the related documents, we searched the official websites related to the Ministry of Health and Medical Education, four main Iranian insurance organizations, the Health Committee of the Parliament Profile, strategic vice president's site and Supreme Insurance Council. After recognition of documents, their credibility and authenticity were evaluated in terms of their publication or adjustment. For the analysis of documents, the four step-Scott method was used applying MAXQDA version 10. Findings illustrated that health service purchase challenges in the country can be classified in 6 main themes of policy-making, executive, intersectional, natural, legal and informational challenges with 26 subthemes. Furthermore, 5 themes of Basic Benefit Package, Reimbursement,Decision making, Technology and Contract are considered as the main Challenges in pharmaceutical purchasing area containing 13 relevant subthemes. It seems that according to documents, Iran has faced many structural and procedural problems with the purchase of the best health interventions. So it is highly recommended to consider consequences derived from the present challenges and try to use these evidences in their policy making process to decrease the existed problems and move to better procurement of health interventions.

  2. [The undergraduate program in forensic science: a national challenge].

    Science.gov (United States)

    García Castillo, Zoraida; Graue Wiechers, Enrique; Durante Montiel, Irene; Herrera Saint Leu, Patricia

    2014-01-01

    The challenge in achieving an ideal state of justice is that each "proof" has the highest degree of reliability. This is the main responsibility of the forensic scientist. Up to now, criminal investigations in Mexico have been supported by forensic work from a wide variety of disciplinary backgrounds that give testimony in a particular area, even though they may have become forensic witnesses in a complementary and experiential manner. In January 2013, the Universidad Nacional Autónoma de México (UNAM) approved the "Forensic Science" undergraduate program that, in collaboration with various academic entities and government institutions, will develop forensic scientists trained in science, law, and criminology. This is focused on contributing to the national demand that the justice system has more elements to procure and administer justice in dealing with crime.

  3. [SWOT Analysis of the National Survey on Current Status of Major Human Parasitic Diseases in China].

    Science.gov (United States)

    ZHU, Hui-hui; ZHOU, Chang-hai; CHEN, Ying-dan; ZANG, Wei; XIAO, Ning; ZHOU, Xiao-nong

    2015-10-01

    The National Survey on Current Status of Major Human Parasitic Diseases in China has been carried out since 2014 under the organization of the National Health and Family Planning Commission of the People's Republic of China. The National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (NIPD, China CDC) provided technical support and was responsible for quality control in this survey. This study used SWOT method to analyze the strengths, weaknesses, opportunities and threats that were encountered by he NIPD, China CDC during the completion of the survey. Accordingly, working strategies were proposed to facilitate the future field work.

  4. Challenges of stimulating a market for social innovation - provision of a national health account.

    Science.gov (United States)

    Wass, Sofie; Vimarlund, Vivian

    2015-01-01

    Innovation in healthcare can be associated with social innovation and the mission to contribute to a shared value that benefits not only individuals or organizations but the society as a whole. In this paper, we present the prerequisites of stimulating a market for social innovations by studying the introduction of a national health account. The results show that there is a need to clarify if a national health account should be viewed as a public good or not, to clarify the financial responsibilities of different actors, to establish clear guidelines and to develop regulations concerning price, quality and certification of actors. The ambition to stimulate the market through a national health account is a promising start. However, the challenges have to be confronted in order for public and private actors to collaborate and build a market for social innovations such as a national health account.

  5. 76 FR 41526 - Centennial Challenges 2011 Strong Tether Challenge

    Science.gov (United States)

    2011-07-14

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice (11-063)] Centennial Challenges 2011 Strong... scheduled and teams that wish to compete may register. Centennial Challenges is a program of prize... NASA Centennial Challenges Program please visit: http://www.nasa.gov/challenges . General questions and...

  6. Implementing national strategies on antimicrobial resistance in Thailand: potential challenges and solutions.

    Science.gov (United States)

    Sommanustweechai, A; Tangcharoensathien, V; Malathum, K; Sumpradit, N; Kiatying-Angsulee, N; Janejai, N; Jaroenpoj, S

    2018-04-01

    Thailand has developed a national strategic plan on antimicrobial resistance (NSP-AMR) and endorsed by the Cabinet in August 2016. This study reviewed the main contents of the NSP-AMR and the mandates of relevant implementing agencies and identified challenges and recommends actions to mitigate implementation gaps. This study analysed the contents of NSP-AMR, reviewed institutional mandates and assessed the implementation gaps among agencies responsible for NSP-AMR. Two of six strategies are related to monitoring and surveillance of AMR and antimicrobial consumption in human and animal. Two other strategies aim to improve antibiotic stewardship and control the spread of AMR in both clinical and farm settings. The remaining two strategies aim to increase knowledge and public awareness on AMR and establish national governance for inter-sectoral actions. Strategies to overcome implementation challenges are sustaining cross-sectoral policy commitments, effective cross-sectoral coordination using One Health approach, generating evidence which guides policy implementation, and improving enforcement capacities in regulatory authorities. To address AMR, Thailand requires significant improvements in implementation capacities in two dimensions. First, technical capacities among implementing agencies are needed to translate policies into practice. Second, governance and organizational capacities enable effective multi-sectoral actions across human, animal, and environmental sectors. Copyright © 2018 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  7. Regulatory challenges in the review of data from global clinical trials: the PMDA perspective.

    Science.gov (United States)

    Asano, K; Tanaka, A; Sato, T; Uyama, Y

    2013-08-01

    Regulatory agencies face challenges in reviewing data from global clinical trials (GCTs) in the era of globalization of drug development. One major challenge is consideration of ethnic factors in evaluating GCT data so as to extrapolate foreign population data to one's own national population. Here, we present the Pharmaceuticals and Medical Devices Agency (PMDA) perspective in reviewing GCT data in new drug applications (NDAs) and discuss future challenges for new drug approval.

  8. 77 FR 70835 - Centennial Challenges 2013 Sample Return Robot Challenge

    Science.gov (United States)

    2012-11-27

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Centennial Challenges 2013 Sample Return Robot... Challenge is scheduled and teams that wish to compete may register. Centennial Challenges is a program of... Challenge, please visit: http://challenge.wpi.edu . For general information on the NASA Centennial...

  9. A scope of the problem: Post-deployment reintegration challenges in a National Guard Unit.

    Science.gov (United States)

    Wilcox, Sherrie L; Oh, Hyunsung; Redmond, Sarah A; Chicas, Joseph; Hassan, Anthony M; Lee, Pey-Jiuan; Ell, Kathleen

    2015-01-01

    More Reserve and Guard members have been activated in the past few years than in any other time in history. In addition to the high rates of psychological and behavioral challenges among military personnel, there are other equally important post-deployment reintegration challenges. Post-deployment reintegration challenges are particularly important to Reserve and Guard members, who transition rapidly from civilian-military-civilian. This study aims to describe the scope of challenges that a battalion of National Guard members (NGM) report experiencing after returning from a one-year deployment to Iraq. This article reports data from a sample of 126 NGM who recently returned from a one-year deployment to Iraq. The scope of post-deployment problems at baseline, 3- and 6-month post-deployment are presented. Overall, the rates of post-deployment psychological and behavioral problems were elevated upon returning from deployment and remained fairly constant for up to 6 months post-deployment. Approximately 30% of respondents were unsatisfied with their relationship and upwards of 30% reported family reintegration challenges. Comparisons with similar research and implications for prevention and improvement of post-deployment quality of life are addressed.

  10. Building a Grad Nation: Progress and Challenge in Ending the High School Dropout Epidemic. Annual Update 2015

    Science.gov (United States)

    DePaoli, Jennifer L.; Fox, Joanna Hornig; Ingram, Erin S.; Maushard, Mary; Bridgeland, John M.; Balfanz, Robert

    2015-01-01

    In 2013, the national high school graduation rate hit a record high of 81.4 percent, and for the third year in a row, the nation remained on pace to meet the 90 percent goal by the Class of 2020. This sixth annual update on America's high school dropout challenge shows that these gains have been made possible by raising graduation rates for…

  11. Cleanup at the Los Alamos National Laboratory - The Challenges

    International Nuclear Information System (INIS)

    Stiger, S.G.; Hargis, K.; Graham, M.; Rael, G.

    2009-01-01

    This paper provides an overview of environmental cleanup at the Los Alamos National Laboratory (LANL) and some of the unique aspects and challenges. Cleanup of the 65-year old Department of Energy laboratory is being conducted under a RCRA Consent Order with the State of New Mexico. This agreement is one of the most recent cleanup agreements signed in the DOE complex and was based on lessons learned at other DOE sites. A number of attributes create unique challenges for LANL cleanup - the proximity to the community and pueblos, the site's topography and geology, and the nature of LANL's on-going missions. This overview paper will set the stage for other papers in this session, including papers that present: - Plans to retrieve buried waste at Material Disposal Area B, across the street from one of Los Alamos' commercial districts and the local newspaper; - Progress to date and joint plans with WIPP for disposal of the remaining inventory of legacy transuranic waste; - Reviews of both groundwater and surface water contamination and the factors complicating both characterization and remediation; - Optimizing the disposal of low-level radioactive waste from ongoing LANL missions; - A stakeholder environmental data transparency project (RACER), with full public access to all available information on contamination at LANL, and - A description of the approach to waste processing cost recovery from the programs that generate hazardous and radioactive waste at LANL. (authors)

  12. Evolving the Nation's Energy Infrastructure: A Challenging System Issue for the Twenty-First Century; Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Garrett, B.

    2007-04-01

    Over the next several decades, a profound transformation of the global energy enterprise will occur driven largely by population growth and economic development. How this growing demand for energy is met poses one of the most complex and challenging issues of our time. The current national energy dialogue reflects the challenge in simultaneously considering the social, political, economic, and technical issues as the energy system is defined, technical targets are established, and programs and investments are implemented to meet those technical targets. This paper examines the general concepts and options for meeting this challenge.

  13. 78 FR 19742 - Centennial Challenges: 2014 Night Rover Challenge

    Science.gov (United States)

    2013-04-02

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice 13-032] Centennial Challenges: 2014 Night... Centennial Challenges 2014 Night Rover Challenge. SUMMARY: This notice is issued in accordance with 51 U.S.C.... Centennial Challenges is a program of prize competitions to stimulate innovation in technologies of interest...

  14. Fluvial sediment in the environment: a national challenge

    Science.gov (United States)

    Larsen, Matthew C.; Gellis, Allen C.; Glysson, G. Douglas; Gray, John R.; Horowitz, Arthur J.

    2010-01-01

    Sediment and sediment-associated constituents can contribute substantially to water-quality impairment. In the past, sediment was viewed mainly as an engineering problem that affected reservoir storage capacity, shipping channel maintenance, and bridge scour, as well as the loss of agricultural soil. Sediment is now recognized as a major cause of aquatic system degradation in many rivers and streams as a result of light attenuation, loss of spawning substrate due to fine-grained sediment infilling, reduction in primary productivity, decreases in biotic diversity, and effects from sediment-associated chemical constituents. Recent advances in sediment measurement, assessment, source-identification, and analytical protocols provide new capabilities to quantify sediment and solid-phase chemical fluxes in aquatic systems. Developing, maintaining, and augmenting current sediment- and water-quality-monitoring networks is essential for determining the health of U.S. waterways and for evaluating the effectiveness of management actions in reducing sediment-related problems. The application of new scientific capabilities that address the adverse effects of sediment and sediment- associated constituents represents a major step in managing the Nation’s water quality. A robust Federal, national-scale eff rt, in collaboration with vested stakeholders, is needed to address these sediment-related water-quality issues across the United States.

  15. 76 FR 56819 - Centennial Challenges 2012 Sample Return Robot Challenge

    Science.gov (United States)

    2011-09-14

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice (11-079)] Centennial Challenges 2012 Sample... Challenge is scheduled and teams that wish to compete may register. Centennial Challenges is a program of... Challenge, please visit: http://wp.wpi.edu/challenge/ . For general information on the NASA Centennial...

  16. Major health service transformation and the public voice: conflict, challenge or complicity?

    Science.gov (United States)

    Martin, Graham P; Carter, Pam; Dent, Mike

    2018-01-01

    Objectives Calls for major reconfigurations of health services have been accompanied by recommendations that wide ranging stakeholders be involved. In particular, patients and the wider public are seen as critical contributors as both funders and beneficiaries of public health care. But public involvement is fraught with challenges, and little research has focused on involvement in the health service transformation initiatives. This paper examines the design and function of public involvement in reconfiguration of health services within the English NHS. Methods Qualitative data including interviews, observation and documents were collected in two health service 'transformation' programmes; interviews include involved public and professional participants. Data were analysed using parallel deductive and inductive approaches. Results Public involvement in the programmes was extensive but its terms of reference, and the individuals involved, were restricted by policy pressures and programme objectives. The degree to which participants descriptively or substantively represented the wider public was limited; participants sought to 'speak for' this public but their views on what was 'acceptable' and likely to influence decision-making led them to constrain their contributions. Conclusions Public involvement in two major service reconfiguration programmes in England was seen as important and functional, and could not be characterized as tokenistic. Yet involvement in these programmes fell short of normative ideals, and could inadvertently reduce, rather than enlarge, public influence on health service reconfiguration decisions.

  17. IMPLEMENTING THE COMPUTER-BASED NATIONAL EXAMINATION IN INDONESIAN SCHOOLS: THE CHALLENGES AND STRATEGIES

    Directory of Open Access Journals (Sweden)

    Heri Retnawati

    2017-12-01

    Full Text Available In line with technological development, the computer-based national examination (CBNE has become an urgent matter as its implementation faces various challenges, especially in developing countries. Strategies in implementing CBNE are thus needed to face the challenges. The aim of this research was to analyse the challenges and strategies of Indonesian schools in implementing CBNE. This research was qualitative phenomenological in nature. The data were collected through a questionnaire and a focus group discussion. The research participants were teachers who were test supervisors and technicians at junior high schools and senior high schools (i.e. Level 1 and 2 and vocational high schools implementing CBNE in Yogyakarta, Indonesia. The data were analysed using the Bogdan and Biklen model. The results indicate that (1 in implementing CBNE, the schools should initially make efforts to provide the electronic equipment supporting it; (2 the implementation of CBNE is challenged by problems concerning the Internet and the electricity supply; (3 the test supervisors have to learn their duties by themselves and (4 the students are not yet familiar with the beneficial use of information technology. To deal with such challenges, the schools employed strategies by making efforts to provide the standard electronic equipment through collaboration with the students’ parents and improving the curriculum content by adding information technology as a school subject.

  18. NATIONAL PROGRAM FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER IN ROMANIA: ETHICAL, LEGAL, AND SOCIAL CHALLENGES

    Directory of Open Access Journals (Sweden)

    Gabriela SIMIONESCU

    2017-05-01

    Full Text Available This review summarizes aspects regarding the national program for in vitro fertilization and embryo transfer in Romania, emphasizing on the ethical, legal and social challenges associated with assisted reproduction technologies. Romania is one of the few countries from the European Union that does not have a specific law for human assisted reproduction, but infertile couples in Romania may benefit from the national program for in vitro fertilization and embryo transfer although, unfortunately, the allocated public funds are not in line with the demand. There are a series of inclusion criteria when applying for the program and unlike other countries, only one in vitro fertilization (IVF procedure may be publicly funded. Despite the legal, ethical and social challenges, this program, however, represents an extremely important step in aligning our country with the standards of other developed countries.

  19. Fuel poverty pre-diagnosis. Challenges, methods and comparison between Ile-de-France and national tools

    International Nuclear Information System (INIS)

    Boitel, Marc; Ceron, Pascale; Faure, Elise; Collinet, Sophie; Guillemot, Celia; Erard, Timothee

    2016-01-01

    Many initiatives and tools have been developed for many years to identify and evaluate fuel poverty over a local, regional or national territory. The multiplicity of available tools leads to complex choice for a territory approach. Through this document, the Iddri Institute and the ARENE Agency provide communities with a recap of today's identified challenges and methods for fuel poverty characterization in a given territory. The document presents a comparative evaluation and some tool sheets for the available pre-diagnostic solutions in the Ile-de-France and national territories

  20. ELECTORAL POLITICS AND CONFRONTING THE CHALLENGE OF BASQUE AND MORO NATIONALISM

    Directory of Open Access Journals (Sweden)

    Teresa S. Encarnacion Tadem

    2010-12-01

    Full Text Available This article explores the similarities and differences concerning the extent to which electoral politics addresses the concerns of Basque and Moro nationalism. These demands mainly focus on the factors that have brought about their political, cultural and, for the Moros, also economic marginalization. In terms of similarities, electoral politics in the form of plebiscites and referendums are used to gauge the sentiments of the Basques and the Moros with regards to approving a national constitution with provisions affecting them as well as the establishment of an autonomous region for the Moros and the strengthening of a federal form of government in the case of the Basques. Elections are also used to choose their leaders at the local, provincial, regional and national levels. As for the differences, among the major ones are the following: One is that electoral politics in the Basque region mirrors the class divide in society and reflects the interests of the constituencies. This is not the case in Muslim Mindanao whereby patronage politics rules and electoral results are generally dictated by the Muslim elites who have close ties with the national elites. And secondly, the ideological bias of the elected leader and his political power in Spain has a direct impact on Basque nationalism. In the case of the Philippines, it is the personality of the elected leader that determines whether peace negotiations will be pursued or not. But this does not impact on national or local electoral politics as in the case of Spain.

  1. 78 FR 49296 - Centennial Challenges 2014 Sample Return Robot Challenge

    Science.gov (United States)

    2013-08-13

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice 13-093] Centennial Challenges 2014 Sample... Centennial Challenges 2014 Sample Return Robot Challenge. SUMMARY: This notice is issued in accordance with... compete may register. Centennial Challenges is a program of prize competitions to stimulate innovation in...

  2. Jamaica is Without a National Sexual Harassment Policy: Challenges, Consequences, Health Problems and the Need for a National Policy Framework

    OpenAIRE

    R. Peters; P.A. Bourne

    2012-01-01

    Humans are sexual as they are physical beings. Simply put, sexual relations are embedded in their composition and so legislations are needed to protect vulnerable groups such as children, poor, women, orphans, elderly, mentally and physically disabled people and adolescents from sexual exploitations. The current study will explore why Jamaica needs a national sexual harassment policy, the challenges without a policy and the difficulties in formulating a policy in such a highly sexed culture. ...

  3. Cleanup at Los Alamos National Laboratory - the challenges - 9493

    Energy Technology Data Exchange (ETDEWEB)

    Stiger, Susan G [Los Alamos National Laboratory; Hargis, Kenneth M [Los Alamos National Laboratory; Graham, Michael J [Los Alamos National Laboratory; Rael, George J [NNSL/LASO

    2008-01-01

    This paper provides an overview of environmental cleanup at the Los Alamos National Laboratory (LANL) and some of the unique aspects and challenges. Cleanup of the 65-year old Department of Energy Laboratory is being conducted under a RCRA Consent Order with the State of New Mexico. This agreement is one of the most recent cleanup agreements signed in the DOE complex and was based on lessons learned at other DOE sites. A number of attributes create unique challenges for LANL cleanup -- the proximity to the community and pueblos, the site's topography and geology, and the nature of LANL's on-going missions. This overview paper will set the stage for other papers in this session, including papers that present: Plans to retrieve buried waste at Material Disposal Area B, across the street from oen of Los Alamos' commercial districts and the local newspaper; Progress to date and joint plans with WIPP for disposal of the remaining inventory of legacy transuranic waste; Reviews of both groundwater and surface water contamination and the factors complicating both characterization and remediation; Optimizing the disposal of low-level radioactive waste from ongoing LANL missions; A stakeholder environmental data transparency project (RACER), with full public access to all available information on contamination at LANL, and A description of the approach to waste processing cost recovery from the programs that generate hazardous and radioactive waste at LANL.

  4. 75 FR 47316 - Centennial Challenges 2010 Strong Tether Challenge

    Science.gov (United States)

    2010-08-05

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Centennial Challenges 2010 Strong Tether Challenge... teams that wish to compete may register. Centennial Challenges is a program of prize competitions to..., please visit: http://www.spaceward.org/elevator2010-ts . For general information on the NASA Centennial...

  5. Workshop and conference on Grand Challenges applications and software technology

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-31

    On May 4--7, 1993, nine federal agencies sponsored a four-day meeting on Grand Challenge applications and software technology. The objective was to bring High-Performance Computing and Communications (HPCC) Grand Challenge applications research groups supported under the federal HPCC program together with HPCC software technologists to: discuss multidisciplinary computational science research issues and approaches, identify major technology challenges facing users and providers, and refine software technology requirements for Grand Challenge applications research. The first day and a half focused on applications. Presentations were given by speakers from universities, national laboratories, and government agencies actively involved in Grand Challenge research. Five areas of research were covered: environmental and earth sciences; computational physics; computational biology, chemistry, and materials sciences; computational fluid and plasma dynamics; and applications of artificial intelligence. The next day and a half was spent in working groups in which the applications researchers were joined by software technologists. Nine breakout sessions took place: I/0, Data, and File Systems; Parallel Programming Paradigms; Performance Characterization and Evaluation of Massively Parallel Processing Applications; Program Development Tools; Building Multidisciplinary Applications; Algorithm and Libraries I; Algorithms and Libraries II; Graphics and Visualization; and National HPCC Infrastructure.

  6. Assessing variation in tolerance in 23 Muslim-majority and Western countries.

    Science.gov (United States)

    Milligan, Scott; Andersen, Robert; Brym, Robert

    2014-08-01

    Scholars disagree over whether Islam hinders the development of liberal democracy in Muslim-majority countries. We contribute to this debate by assessing the influence of Islam at the individual and national levels on ethnic, racial, and religious tolerance in 23 countries. Our analyses are based on a set of multilevel models fitted to World Values Survey data and national-level contextual information from various sources. Our findings suggest that people living in Muslim-majority countries tend to be less tolerant than are those living in Western countries. Although a significant part of this difference is attributable to variation in level of economic development and income inequality, Muslim countries remain less tolerant even after controlling for these factors. On the other hand, controlling for other individual-level factors, nonpracticing Muslims in Western countries are more tolerant than are all others in both Muslim-majority and Western countries. This finding challenges common claims about the effects of Islam as a religion on tolerance, suggesting that it is Islamic political regimes--not Islam itself--that pose problems for social tolerance.

  7. Results From the 2014 National Wilderness Manager Survey

    Science.gov (United States)

    Ramesh Ghimire; Ken Cordell; Alan Watson; Chad Dawson; Gary T. Green

    2015-01-01

    A national survey of managers was developed to support interagency wilderness strategic planning. The focus was on major challenges, perceived needs for science and training, and accomplishments of 1995 Strategic Plan objectives. The survey was administered to managers at the four federal agencies with wilderness management responsibilities: the Bureau of Land...

  8. Universities and national laboratory roles in nuclear engineering

    International Nuclear Information System (INIS)

    Sackett, J.I.

    1991-01-01

    Nuclear Engineering Education is being significantly challenged in the United States. The decline in enrollment generally and the reduction of the number of nuclear engineering departments has been well documented. These declines parallel a lack of new construction for nuclear power plants and a decline in research and development to support new plant design. Precisely at a time when innovation is is needed to deal with many issues facing nuclear power, the number of qualified people to do so is being reduced. It is important that the University and National Laboratory Communities cooperate to address these issues. The Universities must increasingly identify challenges facing nuclear power that demand innovative solutions and pursue them. To be drawn into the technology the best students must see a future, a need and identify challenges that they can meet. The University community can provide that vision with help from the National Laboratories. It has been a major goal within the reactor development program at Argonne National Laboratory to establish the kind of program that can help accomplish this

  9. The physical environment and major plant communities of the Karoo National Park, South Africa

    OpenAIRE

    Francine Rubin; A.R. Palmer

    1996-01-01

    The major plant communities of the Karoo National Park are described using the methods of the Zurich-Montpellier school of phytosociology, to assist with the formulation of a management strategy for the park. The vegetation physiognomy consists of Montane Karoo grassy shrublands. Karoo grassy dwarf shrublands. Karoo succulent dwarf shrublands and riparian thicket. Steep elevation and precipitation gradients within the study area have a direct impact on gradients in the vegetation. High elevat...

  10. Statement to the 54th session of the United Nations General Assembly. United Nations, New York, 4 November 1999

    International Nuclear Information System (INIS)

    ElBaradei, M.

    1999-01-01

    In his Statement to the 54th Session of the United Nations General Assembly (New York, 4 November 1999), the Director General of the IAEA presented some of the major Agency's achievements in fulfilling its mandate as described in the Annual Report of the IAEA for 1998, and also some of the challenges and opportunities that lie ahead

  11. A national stakeholder consensus study of challenges and priorities for clinical learning environments in postgraduate medical education

    NARCIS (Netherlands)

    Kilty, Caroline; Wiese, Anel; Bergin, Colm; Flood, Patrick; Fu, Na; Horgan, Mary; Higgins, Agnes; Maher, Bridget; O’Kane, Grainne; Prihodova, Lucia; Slattery, Dubhfeasa; Stoyanov, Slavi; Bennett, Deirdre

    2018-01-01

    Background: High quality clinical learning environments (CLE) are critical to postgraduate medical education (PGME). The understaffed and overcrowded environments in which many residents work present a significant challenge to learning. The purpose of this study was to develop a national expert

  12. National Brand - A Challenge for Romania

    Directory of Open Access Journals (Sweden)

    Ruxandra Irina POPESCU

    2007-10-01

    Full Text Available National brand is a relatively new concept. It appeared along with the economic globalization and it concerns the competition between nations in order to withdraw the attention of the investors, tourists, consumers, immigrants, media and foreign governments. In other words, a powerful, positive national brand offers a crucial competitive advantage. That is why, it is essential for the countries to know how people all over the world perceive them (seen as target public and to know how their achievements and failures, duties and tasks, population and products are seen throughout the brand.

  13. Interoperability in healthcare: major challenges in the creation of the enterprise environment

    Science.gov (United States)

    Lindsköld, L.; Wintell, M.; Lundberg, N.

    2009-02-01

    There is today a lack of interoperability in healthcare although the need for it is obvious. A new healthcare enterprise environment has been deployed for secure healthcare interoperability in the Western Region in Sweden (WRS). This paper is an empirical overview of the new enterprise environment supporting regional shared and transparent radiology domain information in the WRS. The enterprise environment compromises 17 radiology departments, 1,5 million inhabitants, using different RIS and PACS in a joint work-oriented network and additional cardiology, dentistry and clinical physiology departments. More than 160 terabytes of information are stored in the enterprise repository. Interoperability is developed according to the IHE mission, i.e. applying standards such as Digital Imaging and Communication in Medicine (DICOM) and Health Level 7 (HL7) to address specific clinical communication needs and support optimal patient care. The entire enterprise environment is implemented and used daily in WRS. The central prerequisites in the development of the enterprise environment in western region of Sweden were: 1) information harmonization, 2) reuse of standardized messages e.g. HL7 v2.x and v3.x, 3) development of a holistic information domain including both text and images, and 4) to create a continuous and dynamic update functionality. The central challenges in this project were: 1) the many different vendors acting in the region and the negotiations with them to apply communication roles/profiles such as HL7 (CDA, CCR), DICOM, and XML, 2) the question of whom owns the data, and 3) incomplete technical standards. This study concludes that to create a workflow that runs within an enterprise environment there are a number of central prerequisites and challenges that needs to be in place. This calls for negotiations on an international, national and regional level with standardization organizations, vendors, health management and health personnel.

  14. Cleanup at the Los Alamos National Laboratory - the challenges - 9493

    International Nuclear Information System (INIS)

    Stiger, Susan G.; Hargis, Kenneth M.; Graham, Michael J.; Rael, George J.

    2008-01-01

    This paper provides an overview of environmental cleanup at the Los Alamos National Laboratory (LANL) and some of the unique aspects and challenges. Cleanup of the 65-year old Department of Energy Laboratory is being conducted under a RCRA Consent Order with the State of New Mexico. This agreement is one of the most recent cleanup agreements signed in the DOE complex and was based on lessons learned at other DOE sites. A number of attributes create unique challenges for LANL cleanup -- the proximity to the community and pueblos, the site's topography and geology, and the nature of LANL's on-going missions. This overview paper will set the stage for other papers in this session, including papers that present: Plans to retrieve buried waste at Material Disposal Area B, across the street from oen of Los Alamos' commercial districts and the local newspaper; Progress to date and joint plans with WIPP for disposal of the remaining inventory of legacy transuranic waste; Reviews of both groundwater and surface water contamination and the factors complicating both characterization and remediation; Optimizing the disposal of low-level radioactive waste from ongoing LANL missions; A stakeholder environmental data transparency project (RACER), with full public access to all available information on contamination at LANL, and A description of the approach to waste processing cost recovery from the programs that generate hazardous and radioactive waste at LANL.

  15. Major Sport Venues

    Data.gov (United States)

    Department of Homeland Security — The Major Public Venues dataset is composed of facilities that host events for the National Association for Stock Car Auto Racing, Indy Racing League, Major League...

  16. 75 FR 21044 - Notice of Centennial Challenges 2011 CAFE Green Flight Challenge

    Science.gov (United States)

    2010-04-22

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice (10-045)] Notice of Centennial Challenges...: Notice of Centennial Challenges 2011 CAFE Green Flight Challenge. SUMMARY: This notice is issued in... to compete may register. Centennial Challenges is a program of prize competitions to stimulate...

  17. The International Polar Year in Portugal: A New National Polar Programme and a Major Education and Outreach project

    Science.gov (United States)

    Mendes-Victor, L.; Vieira, G.; Xavier, J.; Canario, A.

    2008-12-01

    Before the International Polar Year, in Portugal polar research was conducted by a very small group of scientists integrated in foreign projects or research institutions. Portugal was not member of the Scientific Committee for Antarctic Research (SCAR), the European Polar Board (EPB), neither a subscriber of the Antarctic Treaty. In 2004 Portuguese Polar researchers considered the IPY as an opportunity to change this situation and organized the national Committee for the IPY. The objectives were ambitious: to answer the aforementioned issues in defining and proposing a National Polar Programme. In late 2008, close to the end of the IPY, the objectives were attained, except the Antarctic Treaty signature that is, however, in an advanced stage, having been approved by consensus at the National Parliament in early 2007. Portugal joined SCAR in July 2006, the EPB in 2007 and a set of 5 Antarctic research projects forming the roots of the National Polar Programme (ProPolar) have been approved by the Foundation for Science and Technology (FCT-MCTES). Scientifically, the IPY can already be considered a major success in Portugal with an improvement in polar scientific research, in the number of scientists performing field work in the Antarctic, organizing polar science meetings and producing an expected increase in the number of polar science peer- reviewed papers. The Portuguese IPY scientific activities were accompanied by a major education and outreach project funded by the Agencia Ciência Viva (MCTES): LATITUDE60! Education for the Planet in the IPY. This project lead by the universities of Algarve, Lisbon and by the Portuguese Association of Geography Teachers is heavily interdisciplinary, programmed for all ages, from kindergarten to adults, and hoped to bring together scientists and society. LATITUDE60! was a major success and focussed on showing the importance of the polar regions for Earth's environment, emphasising on the implications of polar change for

  18. Challenges and Opportunities To Deliver Research Services to Parliamentarians in the Japanese Diet.

    Science.gov (United States)

    Takeda, Michiyo

    This paper outlines the challenges and opportunities for the services of the Japanese National Diet Library (NDL), especially the Research and Legislative Reference Bureau by using a SWOT (Strength, Weaknesses, Opportunities, and Threats) analysis. The introduction lists the major goals of the NDL's reform. The second section discusses the NDL's…

  19. The Special Challenges for National Libraries

    Science.gov (United States)

    Breeding, Marshall

    2011-01-01

    Managing a library collection at the national level follows quite a different set of assumptions than hold for typical academic or public libraries. These collections, often comprehensive of all materials published in a country, press the limits of scale in terms of the sizes of collections. A national library collection might, for example, stand…

  20. Tensions in ethics and policy created by National Precision Medicine Programs.

    Science.gov (United States)

    Minari, Jusaku; Brothers, Kyle B; Morrison, Michael

    2018-04-17

    Precision medicine promises to use genomics and other data-intensive approaches to improve diagnosis and develop new treatments for major diseases, but also raises a range of ethical and governance challenges. Implementation of precision medicine in "real world" healthcare systems blurs the boundary between research and care. This has implications for the meaning and validity of consent, and increased potential for discrimination, among other challenges. Increased sharing of personal information raises concerns about privacy, commercialization, and public trust. This paper considers national precision medicine schemes from the USA, the UK, and Japan, comparing how these challenges manifest in each national context and examining the range of approaches deployed to mitigate the potential undesirable social consequences. There is rarely a "one size" fits all solution to these complex problems, but the most viable approaches are those which take account of cultural preferences and attitudes, available resources, and the wider political landscape in which national healthcare systems are embedded.

  1. Immigrant Health Inequalities in the United States: Use of Eight Major National Data Systems

    Directory of Open Access Journals (Sweden)

    Gopal K. Singh

    2013-01-01

    Full Text Available Eight major federal data systems, including the National Vital Statistics System (NVSS, National Health Interview Survey (NHIS, National Survey of Children’s Health, National Longitudinal Mortality Study, and American Community Survey, were used to examine health differentials between immigrants and the US-born across the life course. Survival and logistic regression, prevalence, and age-adjusted death rates were used to examine differentials. Although these data systems vary considerably in their coverage of health and behavioral characteristics, ethnic-immigrant groups, and time periods, they all serve as important research databases for understanding the health of US immigrants. The NVSS and NHIS, the two most important data systems, include a wide range of health variables and many racial/ethnic and immigrant groups. Immigrants live 3.4 years longer than the US-born, with a life expectancy ranging from 83.0 years for Asian/Pacific Islander immigrants to 69.2 years for US-born blacks. Overall, immigrants have better infant, child, and adult health and lower disability and mortality rates than the US-born, with immigrant health patterns varying across racial/ethnic groups. Immigrant children and adults, however, fare substantially worse than the US-born in health insurance coverage and access to preventive health services. Suggestions and new directions are offered for improvements in health monitoring and for strengthening and developing databases for immigrant health assessment in the USA.

  2. Night Rover Challenge

    Data.gov (United States)

    National Aeronautics and Space Administration — The objective of the Night Rover Challenge was to foster innovations in energy storage technology. Specifically, this challenge asked competitors to create an energy...

  3. Management challenges in remediating a mixed waste site at the Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    Riddle, S.P.; Wilson, R.C.; Branscom, K.S.

    1992-07-01

    Martin Marietta Energy Systems, Inc., manages the Oak Ridge National Laboratory (ORNL) for the US Department of Energy (DOE). Since ORNL's beginning in the 1940's, a variety of solid and liquid low-level radioactive waste (LLW), hazardous waste, and mixed waste has been generated. The solid wastes have been disposed of on site, primarily in shallow trenches called solid waste storage areas (SWSAs). SWSA 6, opened in 1969, is the only operational disposal site at ORNL for solid LLW. In 1984, SWSA 6 was closed for three months when it was discovered that wastes regulated by the Resource Conservation and Recovery Act (RCRA) were being inadvertently disposed of there. SWSA 6 was then added to ORNL's Part A RCRA permit, administrative controls were modified to exclude RCRA regulated wastes from being disposed of at SWSA 6, and a RCRA closure plan was prepared. This paper describes the regulatory challenges of integrating RCRA,- the Comprehensive Environmental Response, Compensation, and Liability Act; and the National Environmental Policy Act into a cohesive remediation strategy while managing the project with multiple DOE contractors and integrating the regulatory approval cycle with the DOE budget cycle. The paper does not dwell on the recommended alternative but presents instead a case study of how some difficult challenges, unique to DOE and other federal facilities, were handled

  4. Quantifying the healthcare costs of treating severely bleeding major trauma patients: a national study for England.

    Science.gov (United States)

    Campbell, Helen E; Stokes, Elizabeth A; Bargo, Danielle N; Curry, Nicola; Lecky, Fiona E; Edwards, Antoinette; Woodford, Maralyn; Seeney, Frances; Eaglestone, Simon; Brohi, Karim; Gray, Alastair M; Stanworth, Simon J

    2015-07-06

    Severely bleeding trauma patients are a small proportion of the major trauma population but account for 40% of all trauma deaths. Healthcare resource use and costs are likely to be substantial but have not been fully quantified. Knowledge of costs is essential for developing targeted cost reduction strategies, informing health policy, and ensuring the cost-effectiveness of interventions. In collaboration with the Trauma Audit Research Network (TARN) detailed patient-level data on in-hospital resource use, extended care at hospital discharge, and readmissions up to 12 months post-injury were collected on 441 consecutive adult major trauma patients with severe bleeding presenting at 22 hospitals (21 in England and one in Wales). Resource use data were costed using national unit costs and mean costs estimated for the cohort and for clinically relevant subgroups. Using nationally available data on trauma presentations in England, patient-level cost estimates were up-scaled to a national level. The mean (95% confidence interval) total cost of initial hospital inpatient care was £19,770 (£18,177 to £21,364) per patient, of which 62% was attributable to ventilation, intensive care, and ward stays, 16% to surgery, and 12% to blood component transfusion. Nursing home and rehabilitation unit care and re-admissions to hospital increased the cost to £20,591 (£18,924 to £22,257). Costs were significantly higher for more severely injured trauma patients (Injury Severity Score ≥15) and those with blunt injuries. Cost estimates for England were £148,300,000, with over a third of this cost attributable to patients aged 65 years and over. Severely bleeding major trauma patients are a high cost subgroup of all major trauma patients, and the cost burden is projected to rise further as a consequence of an aging population and as evidence continues to emerge on the benefits of early and simultaneous administration of blood products in pre-specified ratios. The findings from

  5. The National Strategy of Ecological Transition towards Sustainable Development - International comparisons

    International Nuclear Information System (INIS)

    Kleiber, Florence; Vey, Frederic; Moreau, Sylvain; Bottin, Anne; Baudu-Baret, Claude

    2017-05-01

    The National Strategy of Ecological Transition towards Sustainable Development (SNTEDD) 2015-2020 follows on from the 2010-2013 National Strategy for Sustainable Development. Adopted at the Council of Ministers meeting of 4 February 2015, the SNTEDD identifies four major ecological challenges and nine strategic areas of action. The SNTEDD is monitored by 72 indicators developed via a collaborative process of selection implemented by a special commission of the National Council for Ecological Transition (CNTE) responsible for the indicators. This 'indicators' commission has sought to obtain a perspective on outcomes by means of international comparisons. This study presents initial elements of an analysis of France's situation compared with that of other countries (mostly EU or OECD members) with regard to each of the challenges and areas of action identified in the SNTEDD

  6. The application of epidemiology in national veterinary services: Challenges and threats in Brazil.

    Science.gov (United States)

    Gonçalves, Vitor Salvador Picão; de Moraes, Geraldo Marcos

    2017-02-01

    The application of epidemiology in national veterinary services must take place at the interface between science and politics. Animal health policy development and implementation require attention to macro-epidemiology, the study of economic, social and policy inputs that affect the distribution and impact of animal or human disease at the national level. The world has changed fast over the last three decades including the delivery of veterinary services, their remit and the challenges addressed by public and animal health policies. Rethinking the role of public services and how to make public programs more efficient has been at the heart of the political discussion. The WTO through its SPS Agreement has changed the way in which national veterinary services operate and how trade decisions are made. Most low and middle income countries are still struggling to keep up with the new international scene. Some of these countries, such as Brazil, have very important livestock industries and are key to the global food systems. Over the last two decades, Brazil became a leading player in exports of livestock products, including poultry, and this created a strong pressure on the national veterinary services to respond to trade demands, leading to focus animal health policies on the export-driven sector. During the same period, Brazil has gone a long way in the direction of integrating epidemiology with veterinary services. Epidemiology groups grew at main universities and have been working with government to provide support to animal health policy. The scope and quality of the applied epidemiological work improved and focused on complex data analysis and development of technologies and tools to solve specific disease problems. Many public veterinary officers were trained in modern epidemiological methods. However, there are important institutional bottlenecks that limit the impact of epidemiology in evidence-based decision making. More complex challenges require high levels

  7. Challenges for developing national climate services – Poland and Norway

    Directory of Open Access Journals (Sweden)

    Zbigniew W. Kundzewicz

    2017-12-01

    Full Text Available This contribution discusses the challenges for developing national climate services in two countries with high fossil fuel production – Poland (coal and Norway (oil and gas. Both countries, Poland and Norway, have highly developed weather services, but largely differ on climate services. Since empirical and dynamical downscaling of climate models started in Norway over 20 years ago and meteorological and hydrological institutions in Oslo and Bergen have been collaborating on tailoring and disseminating downscaled climate projections to the Norwegian society, climate services are now well developed in Norway. The Norwegian Centre for Climate Services (NCCS was established in 2011. In contrast, climate services in Poland, in the international understanding, do not exist. Actually, Poland is not an exception, as compared to other Central and Eastern European countries, many of which neither have their national climate services, nor are really interested in European climate services disseminated via common EU initiatives. It is worth posing a question – can Poland learn from Norway as regards climate services? This contribution is based on results of the CHASE-PL (Climate change impact assessment for selected sectors in Poland project, carried out in the framework of the Polish – Norwegian Research Programme. The information generated within the Polish-Norwegian CHASE-PL project that is being broadly disseminated in Poland can be considered as a substitute for information delivered in other countries by climate services.

  8. CHALLENGES TO ILLEGAL MIGRATION POLICIES AND NATIONAL SECURITY OF MEXICO: ANALYSIS FROM THE MANAGEMENT CONDUCTED BETWEEN 2001 AND 2014 AND THE CASE CONCERNING INTERNATIONAL REFERENCES

    Directory of Open Access Journals (Sweden)

    PEDRO RODRÍGUEZ MORENO

    2017-09-01

    Full Text Available This article discusses the issue of political-legal, social and human rights challenges imposed by irregular migration to Mexico, a nation that has been converted into an important area of destination and transit to the United States. The criminalization of the phenomenon and, therefore, the securitization of immigration policy, endorsed by the National Security Policy, has led to social and humanitarian conditions that are deplorable for undocumented migrants most of the times. It then examines the situation of Mexico between 2001 and 2014 and the reality of international benchmarks in the field. One of the challenges recognized for Immigration and National Security policies on the social level is the stigmatization suffered by irregular migrants both adults and children. In the political-legal arena to challenge the institutionalization of irregular migration as a threat that affects national security and overcomes the disjunction between the established regulations and their implementation. Key

  9. Perceived mathematical ability under challenge: a longitudinal perspective on sex segregation among STEM degree fields.

    Science.gov (United States)

    Nix, Samantha; Perez-Felkner, Lara; Thomas, Kirby

    2015-01-01

    Students' perceptions of their mathematics ability vary by gender and seem to influence science, technology, engineering, and mathematics (STEM) degree choice. Related, students' perceptions during academic difficulty are increasingly studied in educational psychology, suggesting a link between such perceptions and task persistence. Despite interest in examining the gender disparities in STEM, these concepts have not been considered in tandem. In this manuscript, we investigate how perceived ability under challenge-in particular in mathematics domains-influences entry into the most sex-segregated and mathematics-intensive undergraduate degrees: physics, engineering, mathematics, and computer science (PEMC). Using nationally representative Education Longitudinal Study of 2002 (ELS) data, we estimate the influence of perceived ability under challenging conditions on advanced high school science course taking, selection of an intended STEM major, and specific major type 2 years after high school. Demonstrating the importance of specificity when discussing how gender influences STEM career pathways, the intersecting effects of gender and perceived ability under mathematics challenge were distinct for each scientific major category. Perceived ability under challenge in secondary school varied by gender, and was highly predictive of selecting PEMC and health sciences majors. Notably, women's 12th grade perceptions of their ability under mathematics challenge increased their probability of selecting PEMC majors over and above biology. In addition, gender moderated the effect of growth mindset on students' selection of health science majors. Perceptions of ability under challenge in general and verbal domains also influenced retention in and declaration of certain STEM majors. The implications of these results are discussed, with particular attention to access to advanced scientific coursework in high school and interventions aimed at enhancing young women's perceptions of

  10. Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists.

    Science.gov (United States)

    Cook, T M; Counsell, D; Wildsmith, J A W

    2009-02-01

    Serious complications of central neuraxial block (CNB) are rare. Limited information on their incidence and impact impedes clinical decision-making and patient consent. The Royal College of Anaesthetists Third National Audit Project was designed to inform this situation. A 2 week national census estimated the number of CNB procedures performed annually in the UK National Health Service. All major complications of CNBs performed over 1 yr (vertebral canal abscess or haematoma, meningitis, nerve injury, spinal cord ischaemia, fatal cardiovascular collapse, and wrong route errors) were reported. Each case was reviewed by an expert panel to assess causation, severity, and outcome. 'Permanent' injury was defined as symptoms persisting for more than 6 months. Efforts were made to validate denominator (procedures performed) and numerator (complications) data through national databases. The census phase produced a denominator of 707,455 CNB. Eighty-four major complications were reported, of which 52 met the inclusion criteria at the time they were reported. Data were interpreted 'pessimistically' and 'optimistically'. 'Pessimistically' there were 30 permanent injuries and 'optimistically' 14. The incidence of permanent injury due to CNB (expressed per 100,000 cases) was 'pessimistically' 4.2 (95% confidence interval 2.9-6.1) and 'optimistically' 2.0 (1.1-3.3). 'Pessimistically' there were 13 deaths or paraplegias, 'optimistically' five. The incidence of paraplegia or death was 'pessimistically' 1.8 per 100,000 (1.0-3.1) and 'optimistically' 0.7 (0-1.6). Two-thirds of initially disabling injuries resolved fully. The data are reassuring and suggest that CNB has a low incidence of major complications, many of which resolve within 6 months.

  11. RESEARCH CHALLENGES IN SCHOOLS TRAINING OF TEACHERS OF TLAXCALA

    Directory of Open Access Journals (Sweden)

    Darney Mendoza-Morales

    2014-07-01

    Full Text Available With the intention of keeping the status of educational research Forming Schools teachers in Tlaxcala, has initiated an diagnosis to define the challenges facing these institutions, mainly the Rural Normal School Lic Benito Juarez. This research is documentary, quantitative and qualitative, is still in process. area systematized information. Statistics of the Educational Services Unit of the State of Tlaxcala, the PEFEN 2011-2012 and Curriculum 2012 and also various policy documents, research data at national level and normal schools were reviewed. The first approach suggests that teacher training institutions face major challenges, which they can no longer delay therefore involves a reorganization of the activities developed by teachers and institutions.

  12. Linguistic Knowledge Aspects in Academic Reading: Challenges and Deployed Strategies by English-Major Undergraduates at a Jordanian Institution of Higher Education

    Science.gov (United States)

    Albashtawi, Abeer H.; Jaganathan, Paramaswari; Singh, Manjet

    2016-01-01

    This study aimed to investigate the linguistic knowledge aspect in academic reading, the challenges and the deployed strategies by English major undergraduates at a Jordanian institution of higher education. The importance of the study is attributed to the importance of the academic reading at university which is closely related to the academic…

  13. Financing dengue vaccine introduction in the Americas: challenges and opportunities.

    Science.gov (United States)

    Constenla, Dagna; Clark, Samantha

    2016-01-01

    Dengue has escalated in the region of the Americas unabated despite major investments in integrated vector control and prevention strategies. An effective and affordable dengue vaccine can play a critical role in reducing the human and economic costs of the disease by preventing millions around the world from getting sick. However, there are considerable challenges on the path towards vaccine introduction. These include lack of sufficient financing tools, absence of capacity within national level decision-making bodies, and demands that new vaccines place on stressed health systems. Various financing models can be used to overcome these challenges including setting up procurement mechanisms, integrating regional and domestic taxes, and setting up low interest multilateral loans. In this paper we review these challenges and opportunities of financing dengue vaccine introduction in the Americas.

  14. Anticipated Ethics and Regulatory Challenges in PCORnet: The National Patient-Centered Clinical Research Network.

    Science.gov (United States)

    Ali, Joseph; Califf, Robert; Sugarman, Jeremy

    2016-01-01

    PCORnet, the National Patient-Centered Clinical Research Network, seeks to establish a robust national health data network for patient-centered comparative effectiveness research. This article reports the results of a PCORnet survey designed to identify the ethics and regulatory challenges anticipated in network implementation. A 12-item online survey was developed by leadership of the PCORnet Ethics and Regulatory Task Force; responses were collected from the 29 PCORnet networks. The most pressing ethics issues identified related to informed consent, patient engagement, privacy and confidentiality, and data sharing. High priority regulatory issues included IRB coordination, privacy and confidentiality, informed consent, and data sharing. Over 150 IRBs and five different approaches to managing multisite IRB review were identified within PCORnet. Further empirical and scholarly work, as well as practical and policy guidance, is essential if important initiatives that rely on comparative effectiveness research are to move forward.

  15. Social responsibilities of a physician: reflections of Major General S L Bhatia (1891-1981).

    Science.gov (United States)

    Hegde, Radhika; Vaz, Mario

    2017-01-01

    This paper examines various documents written by Major General SL Bhatia CIE, MC, IMS from the 1920s to the1960s on the "Social Responsibilities of a Physician". His reflections are of historical significance, since they provide us with an insight into the challenges confronting the people who attempted to rebuild a nation plagued by poverty resulting from fractured agricultural growth, a feudalistic social structure and the regional inequalities that accompany it, and prolonged imperial rule, among other things. Bhatia's thoughts, especially on medical education and the condition of rural health and sanitation, enable us to understand India's present health concerns through the prism of the past. The writings of Bhatia, who lived during a period of transition in India, reflect an understanding of health issues from the perspectives both of an administrator and a physician struggling to meet the challenges of a nascent nation. He insisted on rooting his medical teachings in the principles of the humanities and ethics.

  16. Neoliberalism and indigenous knowledge: Māori health research and the cultural politics of New Zealand's "National Science Challenges".

    Science.gov (United States)

    Prussing, Erica; Newbury, Elizabeth

    2016-02-01

    In 2012-13 the Ministry of Business, Innovation and Employment (MBIE) in New Zealand rapidly implemented a major restructuring of national scientific research funding. The "National Science Challenges" (NSC) initiative aims to promote greater commercial applications of scientific knowledge, reflecting ongoing neoliberal reforms in New Zealand. Using the example of health research, we examine the NSC as a key moment in ongoing indigenous Māori advocacy against neoliberalization. NSC rhetoric and practice through 2013 moved to marginalize participation by Māori researchers, in part through constructing "Māori" and "science" as essentially separate arenas-yet at the same time appeared to recognize and value culturally distinctive forms of Māori knowledge. To contest this "neoliberal multiculturalism," Māori health researchers reasserted the validity of culturally distinctive knowledge, strategically appropriated NSC rhetoric, and marshalled political resources to protect Māori research infrastructure. By foregrounding scientific knowledge production as an arena of contestation over neoliberal values and priorities, and attending closely to how neoliberalizing tactics can include moves to acknowledge cultural diversity, this analysis poses new questions for social scientific study of global trends toward reconfiguring the production of knowledge about health. Study findings are drawn from textual analysis of MBIE documents about the NSC from 2012 to 2014, materials circulated by Māori researchers in the blogosphere in 2014, and ethnographic interviews conducted in 2013 with 17 Māori health researchers working at 7 sites that included university-based research centers, government agencies, and independent consultancies. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Perceived Mathematical Ability under Challenge: A Longitudinal Perspective on Sex Segregation among STEM Degree Fields

    Directory of Open Access Journals (Sweden)

    Samantha eNix

    2015-06-01

    Full Text Available Students’ perceptions of their mathematics ability vary by gender and seem to influence science, technology, engineering, and math (STEM degree choice. Related, students’ perceptions during academic difficulty are increasingly studied in educational psychology, suggesting a link between such perceptions and task persistence. Despite interest in examining the gender disparities in STEM, these concepts have not been considered in tandem. We investigate how perceived ability under challenge – in particular in mathematics domains – influences entry into the most sex-segregated and mathematics-intensive undergraduate degrees: physics, engineering, mathematics, and computer science (PEMC. Using nationally representative Education Longitudinal Study of 2002 (ELS data, we estimate the influence of perceived ability under challenging conditions on advanced high school science course taking, selection of an intended STEM major, and specific major type two years after high school. Demonstrating the importance of specificity when discussing how gender influences STEM career pathways, the intersecting effects of gender and perceived ability under mathematics challenge were distinct for each scientific major category. Perceived ability under challenge in secondary school varied by gender, and was highly predictive of selecting PEMC and health sciences majors. Notably, women’s 12th grade perceptions of their ability under mathematics challenge increased the probability that they would select PEMC majors, increasing women's probability of selecting PEMC over and above biology. In addition, gender moderated the effect of growth mindset on students’ selection of health science majors. The implications of these results are discussed, with particular attention to access to advanced scientific coursework in high school and interventions aimed at enhancing young women’s perceptions of their ability to facilitate their pathways to scientific degrees.

  18. DWAF water services IAM strategy positioned within the context of other major national IAM initiatives

    CSIR Research Space (South Africa)

    Wall, K

    2008-05-01

    Full Text Available STRATEGY POSITIONED WITHIN THE CONTEXT OF OTHER MAJOR NATIONAL IAM INITIATIVES Nino Manus, Kribbs Moodley, Kevin Wall, Louis Boshoff and Arno Ottermann Department of Water Affairs and Forestry, Private Bag X313, Pretoria 0001. ManusA@dwaf.gov.za P D... into one or other of 9 “solution types”, viz: • Awareness • Finance • Guidelines • HR (i.e. including ski l ls and appointments) • Legal and procurement • Monitoring and evaluation • Management and leadership • Operation and maintenance...

  19. Rainwater harvesting in South Africa: Challenges and opportunities

    Science.gov (United States)

    Mwenge Kahinda, J.; Taigbenu, A. E.

    Water paucity remains a major threat to poverty, hunger alleviation as well as sustainable development. Innovative water technologies such as rainwater harvesting (RWH) have the potential to improve rural water supply and contribute to the provision of the first 6 kl of water consumed monthly. RWH can also be the solution to South Africa food security by increasing water productivity of dryland agriculture and enabling homestead gardening. Although used for decades in South Africa, rainwater harvesting (RWH) is still far from being utilised to its full potential as unresolved challenges prevent its wide scale adoption. The paper presents the challenges and opportunities to the upscaling of RWH in South Africa. Key challenges preventing the nationwide expansion of RWH are the current water related legislations, the lack of finances and the absence of a national umbrella body that coordinates. While opportunities lie in the worth of knowledge gathered by research projects, funded over the last two decades, on the biophysical and socio-economic impacts of RWH.

  20. The Digital Learning Imperative: How Technology and Teaching Meet Today's Education Challenges. Digital Learning Series

    Science.gov (United States)

    Schwartzbeck, Terri Duggan; Wolf, Mary Ann

    2012-01-01

    This report outlines how digital learning can connect middle and high school students with better teaching and learning experiences while also addressing three major challenges facing the nation's education system--access to good teaching, tight budgets, and boosting student achievement. But simply slapping a netbook on top of a textbook will not…

  1. Perceived mathematical ability under challenge: a longitudinal perspective on sex segregation among STEM degree fields

    Science.gov (United States)

    Nix, Samantha; Perez-Felkner, Lara; Thomas, Kirby

    2015-01-01

    Students' perceptions of their mathematics ability vary by gender and seem to influence science, technology, engineering, and mathematics (STEM) degree choice. Related, students' perceptions during academic difficulty are increasingly studied in educational psychology, suggesting a link between such perceptions and task persistence. Despite interest in examining the gender disparities in STEM, these concepts have not been considered in tandem. In this manuscript, we investigate how perceived ability under challenge—in particular in mathematics domains—influences entry into the most sex-segregated and mathematics-intensive undergraduate degrees: physics, engineering, mathematics, and computer science (PEMC). Using nationally representative Education Longitudinal Study of 2002 (ELS) data, we estimate the influence of perceived ability under challenging conditions on advanced high school science course taking, selection of an intended STEM major, and specific major type 2 years after high school. Demonstrating the importance of specificity when discussing how gender influences STEM career pathways, the intersecting effects of gender and perceived ability under mathematics challenge were distinct for each scientific major category. Perceived ability under challenge in secondary school varied by gender, and was highly predictive of selecting PEMC and health sciences majors. Notably, women's 12th grade perceptions of their ability under mathematics challenge increased their probability of selecting PEMC majors over and above biology. In addition, gender moderated the effect of growth mindset on students' selection of health science majors. Perceptions of ability under challenge in general and verbal domains also influenced retention in and declaration of certain STEM majors. The implications of these results are discussed, with particular attention to access to advanced scientific coursework in high school and interventions aimed at enhancing young women

  2. National emissions from tourism: An overlooked policy challenge?

    International Nuclear Information System (INIS)

    Gössling, Stefan

    2013-01-01

    Tourism has been recognized as a significant greenhouse gas (GHG) emissions sector on a global scale. Yet, only few studies assess tourism's share in national emissions. This paper compares and analyses existing inventories of national emissions from tourism. Studies are difficult to compare, because they use different system boundaries and allocation principles, omitting or including lifecycle emissions and GHG other than CO 2 . By outlining and analysing these differences, the paper estimates the contribution made by tourism to national emissions, and its greenhouse gas intensity in comparison to other economic sectors. Results indicate that while emissions from tourism are significant in all countries studied, they may, in some countries, exceed ‘official' emissions as calculated on the basis of guidelines for national emission inventories under the Kyoto Protocol. This is a result of the fact that bunker fuels are not considered in national GHG inventories, leading to underestimates of the energy- and GHG intensity of tourism economies. While further growth in tourism emissions can be expected in all countries studied, energy-related vulnerabilities are already considerable in many of these. Climate policy for tourism, on the other hand, is largely non-existent, calling for immediate action to consider this sector in national legislation. - Highlights: • Emissions from tourism are equivalent to 5–150% of ’official’ national emissions. • Inconsistent methods are used to calculate national tourism emissions. • Tourism is an energy-intense economic sector compared to other sectors. • Emissions from tourism are growing rapidly. • National policy is not concerned with tourism-related emissions

  3. Major Challenges for the Modern Chemistry in Particular and Science in General.

    Science.gov (United States)

    Uskokovíc, Vuk

    2010-11-01

    In the past few hundred years, science has exerted an enormous influence on the way the world appears to human observers. Despite phenomenal accomplishments of science, science nowadays faces numerous challenges that threaten its continued success. As scientific inventions become embedded within human societies, the challenges are further multiplied. In this critical review, some of the critical challenges for the field of modern chemistry are discussed, including: (a) interlinking theoretical knowledge and experimental approaches; (b) implementing the principles of sustainability at the roots of the chemical design; (c) defining science from a philosophical perspective that acknowledges both pragmatic and realistic aspects thereof; (d) instigating interdisciplinary research; (e) learning to recognize and appreciate the aesthetic aspects of scientific knowledge and methodology, and promote truly inspiring education in chemistry. In the conclusion, I recapitulate that the evolution of human knowledge inherently depends upon our ability to adopt creative problem-solving attitudes, and that challenges will always be present within the scope of scientific interests.

  4. Assessing climate risks across different business sectors and industries: an investigation of methodological challenges at national scale for the UK

    Science.gov (United States)

    Surminski, Swenja; Di Mauro, Manuela; Baglee, J. Alastair R.; Connell, Richenda K.; Hankinson, Joel; Haworth, Anna R.; Ingirige, Bingunath; Proverbs, David

    2018-06-01

    Climate change poses severe risks for businesses, which companies as well as governments need to understand in order to take appropriate steps to manage those. This, however, represents a significant challenge as climate change risk assessment is itself a complex, dynamic and geographically diverse process. A wide range of factors including the nature of production processes and value chains, the location of business sites as well as relationships and interdependencies with customers and suppliers play a role in determining if and how companies are impacted by climate risks. This research explores the methodological challenges for a national-scale assessment of climate risks through the lens of the UK Climate Change Risk Assessment (UKCCRA) process and compares the approaches adopted in the first and second UKCCRA (2011, 2016), while also reflecting on international experiences elsewhere. A review of these issues is presented, drawing on a wide body of contemporary evidence from a range of sources including the research disciplines, grey literature and government policy. The study reveals the methodological challenges and highlights six broad themes, namely scale, evidence base, adaptation responses, scope, interdependencies and public policy. The paper concludes by identifying suitable lessons for future national climate risk assessments, which should guide the next phase of research in preparation for UKCCRA3 and those of national-level risk assessments elsewhere. This article is part of the theme issue `Advances in risk assessment for climate change adaptation policy'.

  5. 78 FR 59974 - Centennial Challenges 2014 Unmanned Aircraft Systems (UAS) Airspace Operations Challenge (AOC)

    Science.gov (United States)

    2013-09-30

    ... NATIONAL AERONAUTICS AND SPACE ADMINISTRATION Centennial Challenges 2014 Unmanned Aircraft Systems... wish to compete may now register. Centennial Challenges is a program of prize competitions to stimulate...: http://www.uasaoc.org For general information on the NASA Centennial Challenges Program please visit...

  6. Building a Grad Nation: Progress and Challenge in Ending the High School Dropout Epidemic. Executive Summary. Annual Update, 2012

    Science.gov (United States)

    Balfanz, Robert; Bridgeland, John M.; Bruce, Mary; Fox, Joanna Hornig

    2012-01-01

    This 2012 report shows that high school graduation rates continue to improve nationally and across many states and school districts, with 12 states accounting for the majority of new graduates over the last decade. Tennessee and New York continue to lead the nation with double-digit gains in high school graduation rates over the same period. The…

  7. Prospects, achievements, challenges and opportunities for scaling-up malaria chemoprevention in pregnancy in Tanzania: the perspective of national level officers

    Directory of Open Access Journals (Sweden)

    Byskov Jens

    2008-07-01

    Full Text Available Abstract Objectives To describe the prospects, achievements, challenges and opportunities for implementing intermittent preventive treatment for malaria in pregnancy (IPTp in Tanzania in light of national antenatal care (ANC guidelines and ability of service providers to comply with them. Methods In-depth interviews were made with national level malaria control officers in 2006 and 2007. Data was analysed manually using a qualitative content analysis approach. Results IPTp has been under implementation countrywide since 2001 and the 2005 evaluation report showed increased coverage of women taking two doses of IPTp from 29% to 65% between 2001 and 2007. This achievement was acknowledged, however, several challenges were noted including (i the national antenatal care (ANC guidelines emphasizing two IPTp doses during a woman's pregnancy, while other agencies operating at district level were recommending three doses, this confuses frontline health workers (HWs; (ii focused ANC guidelines have been revised, but printing and distribution to districts has often been delayed; (iii reports from district management teams demonstrate constraints related to women's late booking, understaffing, inadequate skills of most HWs and their poor motivation. Other problems were unreliable supply of free SP at private clinics, clean and safe water shortage at many government ANC clinics limiting direct observation treatment and occasionally pregnant women asked to pay for ANC services. Finally, supervision of peripheral health facilities has been inadequate and national guidelines on district budgeting for health services have been inflexible. IPTp coverage is generally low partly because IPTp is not systematically enforced like programmes on immunization, tuberculosis, leprosy and other infectious diseases. Necessary concerted efforts towards fostering uptake and coverage of two IPTp doses were emphasized by the national level officers, who called for further action

  8. Centennial Challenges Program

    Science.gov (United States)

    Ortega, Sam; Eberly, Eric

    2015-01-01

    NASA's Centennial Challenges Program was initiated in 2005 to directly engage the public in the process of advanced technology development. The program offers incentive prizes to generate revolutionary solutions to problems of interest to NASA and the nation. The program seeks innovations from diverse and nontraditional sources. Competitors are not supported by government funding and awards are only made to successful teams when the challenges are met. In keeping with the spirit of the Wright Brothers and other American innovators, the Centennial Challenge prizes are offered to independent inventors including small businesses, student groups, and individuals. These independent inventors are sought to generate innovative solutions for technical problems of interest to NASA and the nation and to provide them with the opportunity to stimulate or create new business ventures.

  9. Ensuring US National Aeronautics Test Capabilities

    Science.gov (United States)

    Marshall, Timothy J.

    2010-01-01

    U.S. leadership in aeronautics depends on ready access to technologically advanced, efficient, and affordable aeronautics test capabilities. These systems include major wind tunnels and propulsion test facilities and flight test capabilities. The federal government owns the majority of the major aeronautics test capabilities in the United States, primarily through the National Aeronautics and Space Administration (NASA) and the Department of Defense (DoD). However, changes in the Aerospace landscape, primarily the decrease in demand for testing over the last 20 years required an overarching strategy for management of these national assets. Therefore, NASA established the Aeronautics Test Program (ATP) as a two-pronged strategic initiative to: (1) retain and invest in NASA aeronautics test capabilities considered strategically important to the agency and the nation, and (2) establish a strong, high level partnership with the DoD. Test facility utilization is a critical factor for ATP because it relies on user occupancy fees to recover a substantial part of the operations costs for its facilities. Decreasing utilization is an indicator of excess capacity and in some cases low-risk redundancy (i.e., several facilities with basically the same capability and overall low utilization). However, low utilization does not necessarily translate to lack of strategic importance. Some facilities with relatively low utilization are nonetheless vitally important because of the unique nature of the capability and the foreseeable aeronautics testing needs. Unfortunately, since its inception, the customer base for ATP has continued to shrink. Utilization of ATP wind tunnels has declined by more than 50% from the FY 2006 levels. This significant decrease in customer usage is attributable to several factors, including the overall decline in new programs and projects in the aerospace sector; the impact of computational fluid dynamics (CFD) on the design, development, and research

  10. Argos at NRPA - added value and major challenges

    International Nuclear Information System (INIS)

    Thorshaug, S.; Holo, E.N.

    2003-01-01

    Full text: The national emergency response organization with the Crisis Committee for Nuclear Accidents, their advisors and their information group will gather at NRPA in case of a nuclear or radiological accident. Prognoses and actual measurements presented through a decision support system are regarded being of major importance as a basis for the decision making. ARGOS presents predictions of several quantities that are likely to be of interest to decision makers during and alter an accident, such as air concentration, deposition, effective dose and foodstuff activity. It is expected that ARGOS will be an important tool for the decision makers in case of an accident at a foreign nuclear power plant, at one of the two research reactors in Norway or in case of a nuclear accident in a nuclear powered vessel. Information from meteorological forecasts and atmospheric dispersion models will be of key importance in case of such an accident. Therefore, the main emphasis in the implementation process so far has been on the integration between ARGOS and the long-range dispersion model, SNAP, used at the Norwegian Meteorological Institute. A new technical solution represents an improvement of the existing arrangement within the Norwegian emergency preparedness organization, and facilitates presentation of dose calculations based on numerical weather prediction data in a clear and intuitive manner. ARGOS also represents an improved and more centralized approach to data handling and data processing within the Norwegian nuclear emergency response organization. This is due mainly to its quality as a central repository for different types of measurement data. The data of interest are produced for example by mobile ground- or air-based measuring teams (civilian or military), by measuring stations within the automatic monitoring network or by laboratory analysis of air samples or environmental- and food samples. The ability to graphically present such measuring data together with

  11. Challenges and opportunities of multi-disciplinary, multi-national and multi-sectoral projects

    Science.gov (United States)

    Reitz, Anja; Hamann, Kristin

    2017-04-01

    Collaborative research projects e.g. funded or supported by the European Commission are by nature multi-national. Often EU calls bring together different scientific communities to jointly tackle challenges that can only be addressed through the convergence of previously separated disciplines in one research consortium. Some work programmes even necessitate to team up as different disciplines as natural sciences, social science, legal science and economic science. Examples for such multi- national, -disciplinary and - sectoral projects are the EU projects ECO2 (FP7, concluded), AtlantOS (H2020) and MiningImpact (JPI Oceans). Project managers of such projects need to develop skills beyond the common technical and management skills namely go into the domain of partners and stakeholders psychology and be able to maintain different perspectives on communication and interaction needs regarding cultural-, discipline- and sectoral background. Accordingly, the project manager has besides his or her technical role as manager at least three further roles: that of a communicator, that of a mediator and that of a person convincing partners of the necessary and selling the project products to the stakeholders. As the typical project manager has not too much power and authority by his or her position he or she has to use the power of smart communication and persuasion to overcome potential dissension between disciplines, national reservation or potential conflicts regarding different sectoral views. Accordingly, the project manager of such complex projects would try to arrange the ideal working environment by considering cultural feel, the cooperation of disciplines, information and the control of resources. The way he or she develops such ideal working environment is by reflection of past, present and future experiences/needs.

  12. Project management - challenges in dealing with academic and non-academic partners

    Science.gov (United States)

    Henkel, Daniela; Eisenhauer, Anton; Drossou-Berendes, Alexandra

    2016-04-01

    Modern research projects on national, European and international level are challenged by an increasing requirement of inter and trans-disciplinarily, societal relevance and educational outreach as well as market oriented applications. In particular, to be successful in European research in the frame of HORIZON 2020, the EU Framework Programme for Research and Innovation, it is crucial that relatively large international research consortia involve academic and non-academic partners, NGOs, private and non-private institutions as well as industrial companies. For the management and organisation of such consortia coordinators have to deal with significant differences between multi-national and multi-sectorial administrations and research environments, in order to secure a successful implementation of the project. This often costs research and non-academic partners tremendous efforts, not to say excessive demands. Based on the experiences made in the frame of an Innovative Training Network (ITN) project within the HORIZON 2020 Marie Skłodowska-Curie Actions, this presentation identifies organisational pitfalls and major challenges of the project management for European funded research involving multi-national academic and non-academic research partners. Possible strategies are discussed to circumvent and avoid conflicts already at the beginning of the project.

  13. Plasmodium falciparum Resistance to Artemisinin Derivatives and Piperaquine: A Major Challenge for Malaria Elimination in Cambodia

    Science.gov (United States)

    Duru, Valentine; Witkowski, Benoit; Ménard, Didier

    2016-01-01

    Artemisinin-based combination therapies (ACTs) are the cornerstone of current strategies for fighting malaria. Over the last decade, ACTs have played a major role in decreasing malaria burden. However, this progress is being jeopardized by the emergence of artemisinin-resistant Plasmodium falciparum parasites. Artemisinin resistance was first detected in western Cambodia in 2008 and has since been observed in neighboring countries in southeast Asia. The problem of antimalarial drug resistance has recently worsened in Cambodia, with reports of parasites resistant to piperaquine, the latest generation of partner drug used in combination with dihydroartemisinin, leading to worrying rates of clinical treatment failure. The monitoring and the comprehension of both types of resistance are crucial to prevent the spread of multidrug-resistant parasites outside southeast Asia, and particularly to Africa, where the public health consequences would be catastrophic. To this end, new tools are required for studying the biological and molecular mechanisms underlying resistance to antimalarial drugs and for monitoring the geographic distribution of the resistant parasites. In this review, we detail the major advances in our understanding of resistance to artemisinin and piperaquine and define the challenges that the malaria community will have to face in the coming years. PMID:27928074

  14. Lessons learned and new challenges for integrated assessment under the National Environmental Policy Act

    Energy Technology Data Exchange (ETDEWEB)

    Carnes, S.A.; Reed, R.M.

    1995-12-31

    One of the first government-sponsored demands for integrated assessment to support decision making in the United States is embodied in the National Environmental Policy Act of 1969 (NEPA). Over the past 25 years, Oak Ridge National Laboratory (ORNL) has supported federal agencies` in evaluating health and environmental impacts as required by NEPA. Many of ORNL`s efforts have focused on complex, programmatic assessments that break new ground and require and integrate expertise from a wide range of technical disciplines. Examples of ORNL projects that illustrate the use of integrated assessment approaches include environmental documentation for: (1) the Department of the Army`s Chemical Stockpile Disposal Program, (2) the Federal Energy Regulatory Commission`s licensing activities related to the Owens River Basin in eastern California and along a 500-mile reach of the upper Ohio River, and (3) the Nuclear Regulatory Commission`s decision regarding restart of the undamaged reactor (Unit 1) at Three Mile Island. Our discussion of these examples illustrates successful integrated assessment approaches and identifies new challenges facing integrated assessment activities.

  15. Challenges in contemporary academic neurosurgery.

    Science.gov (United States)

    Black, Peter M

    2006-03-01

    Traditionally, the ideal academic neurosurgeon has been a "quadruple threat," with excellence in clinical work, teaching, research, and administration. This tradition was best exemplified in Harvey Cushing, who developed the field of neurosurgery 90 years ago. This paradigm will probably have to change as academic neurosurgeons face major challenges. In patient care, these include increasing regulatory control, increasing malpractice costs, consolidation of expensive care in academic centers, and decreasing reimbursement; in resident teaching, work hour limitations and a changing resident culture; in research, the increasing dominance of basic scientists in governmental funding decisions and decreased involvement of neurosurgeons in scientific review committees; and in administration, problems of relationships in the workplace, patient safety, and employment compliance in an increasingly bureaucratic system. To meet these challenges, the new academic neurosurgeon will probably not be a quadruple threat personally but will be part of a quadruple threat in a department and institution. Neurosurgeons in such a setting will have to work with hospital, medical school, and national and international groups to address malpractice, reimbursement, subspecialization, and training problems; find supplemental sources of income through grants, development funds, and hospital support; lead in the development of multidisciplinary centers for neuroscience, brain tumor, spine, and other initiatives; and focus on training leaders for hospital, regional, and national groups to reconfigure neurosurgery. Collaboration, flexibility, and leadership will be characteristic of the academic neurosurgeon in this new era.

  16. Oak Ridge National Laboratory Next Generation Safeguards Initiative

    Energy Technology Data Exchange (ETDEWEB)

    Kirk, Bernadette Lugue [ORNL; Eipeldauer, Mary D [ORNL; Whitaker, J Michael [ORNL

    2011-12-01

    In 2007, the Department of Energy's National Nuclear Security Administration (DOE/NNSA) Office of Nonproliferation and International Security (NA-24) completed a comprehensive review of the current and potential future challenges facing the international safeguards system. The review examined trends and events impacting the mission of international safeguards and the implications of expanding and evolving mission requirements on the legal authorities and institutions that serve as the foundation of the international safeguards system, as well as the technological, financial, and human resources required for effective safeguards implementation. The review's findings and recommendations were summarized in the report, 'International Safeguards: Challenges and Opportunities for the 21st Century (October 2007)'. One of the report's key recommendations was for DOE/NNSA to launch a major new program to revitalize the international safeguards technology and human resource base. In 2007, at the International Atomic Energy Agency's General Conference, then Secretary of Energy Samuel W. Bodman announced the newly created Next Generation Safeguards Initiative (NGSI). NGSI consists of five program elements: (1) Policy development and outreach; (2) Concepts and approaches; (3) Technology and analytical methodologies; (4) Human resource development; and (5) Infrastructure development. The ensuing report addresses the 'Human Resource Development (HRD)' component of NGSI. The goal of the HRD as defined in the NNSA Program Plan (November 2008) is 'to revitalize and expand the international safeguards human capital base by attracting and training a new generation of talent.' One of the major objectives listed in the HRD goal includes education and training, outreach to universities, professional societies, postdoctoral appointments, and summer internships at national laboratories. ORNL is a participant in the NGSI program, together

  17. Nuclear Security Systems and Measures for Major Public Events. Implementing Guide

    International Nuclear Information System (INIS)

    2012-01-01

    Terrorism remains a threat to international stability and security. High profile international and national major public events occur regularly, capturing great public interest and receiving intense media coverage. It is widely acknowledged that there is a substantial threat of a terrorist attack on major public events such as high profile political or economic summit meetings or major sporting contests. The threat of nuclear and radiological terrorism remains on the international security agenda. Nevertheless, to reduce this risk, the international community has made great progress in securing nuclear and other radioactive material that could otherwise be used in a terrorist act. This progress is contingent on the efforts of all States to adopt strong nuclear security systems and measures. There are large quantities of diverse radioactive material in existence, which are used in areas such as health, the environment, agriculture and industry. The hazards of this material vary according to composition and intensity. Additionally, the use of explosives in combination with this material can drastically enhance the impact of a criminal or terrorist act. If a criminal or terrorist group managed to detonate a so-called 'dirty' bomb in an urban area, the result could be mass panic, widespread radioactive contamination and major economic and social disruption. Major public events are seldom held in the same State or at the same location or even at the same venue. At the national level, the hosting of major public events with proper nuclear security arrangements can provide a foundation on which to build an enduring national framework for nuclear security; one that can exist long after the event. The organization of a major public event in which large numbers of people congregate presents complex security challenges for the State hosting such an event. Criminal or terrorist acts involving nuclear or other radioactive material at any major public event could result in

  18. Natural gas pipelines: emerging market challenges

    International Nuclear Information System (INIS)

    Smart, A.; Balfe, P

    2001-01-01

    The Australian gas industry has come a long way in recent years. Most of the formerly government owned gas transmission, distribution and retail businesses have been privatised; major utility companies have been fundamentally restructured; the convergence of energy markets has seen many companies stepping outside the boundaries of their traditional businesses; and national competition policy has led to profound changes in the regulatory landscape. Yet despite the magnitude of these changes, it is clear that the journey of competitive reform has a long way to go. The Australian Gas Association's Industry Development Strategy identifies the potential for gas to increase its share of Australia's primary energy market, from around 18 percent at present to 22 percent by 2005, and 28 percent by 2015. Our analysis, using ACIL's Eastern Australian Gas Model, clearly shows that in the absence of major new sources of gas, these challenging targets will not be met and, indeed, there will be an increasing supply shortfall. However, with the emergence of new competitive supply sources such as Papua New Guinea and the Timor Sea, our modelling suggests that most of this demand can be satisfied at prices which will maintain gas' competitiveness in energy markets. Such developments provide both opportunities and challenges for the industry. In particular, they will profoundly affect the owners and operators of transmission pipeline systems. (Authors)

  19. Major Depressive Disorder and Dysthymia at the Intersection of Nativity and Racial-Ethnic Origins.

    Science.gov (United States)

    Szaflarski, Magdalena; Cubbins, Lisa A; Bauldry, Shawn; Meganathan, Karthikeyan; Klepinger, Daniel H; Somoza, Eugene

    2016-08-01

    Immigrants often have lower rates of depression than US-natives, but longitudinal assessments across multiple racial-ethnic groups are limited. This study examined the rates of prevalent, acquired, and persisting major depression and dysthymia by nativity and racial-ethnic origin while considering levels of acculturation, stress, and social ties. Data from the National Epidemiologic Survey on Alcohol and Related Conditions were used to model prevalence and 3-year incidence/persistence of major depression and dysthymia (DSM-IV diagnoses) using logistic regression. Substantive factors were assessed using standardized measures. The rates of major depression were lower for most immigrants, but differences were noted by race-ethnicity and outcome. Furthermore, immigrants had higher prevalence but not incidence of dysthymia. The associations between substantive factors and outcomes were mixed. This study describes and begins to explain immigrant trajectories of major depression and dysthymia over a 3-year period. The continuing research challenges and future directions are discussed.

  20. Shipments of irradiated DIDO fuel from Risoe National Laboratory to the Savannah River Site - Challenges and achievements

    International Nuclear Information System (INIS)

    Anne, C.; Patterson, J.

    2003-01-01

    On September 28, 2000, the Board of Governors of Risoe National Laboratory decided to shut down the Danish research reactor DR3 due to technical problems (corrosion on the reactor aluminum tank). Shortly thereafter, the Danish Government asked the National Laboratory to empty the reactor and its storage pools containing a total of 255 DIDO irradiated elements and ship them to Savannah River Site in the USA as soon as possible. Risoe National Laboratory had previously contracted with Cogema Logistics to ship DR3 DIDO fuel elements to SRS through the end of the return program. The quantity of fuel was less than originally intended but the schedule was significantly shorter. It was agreed in June 2001 that a combination of Cogema Logistics' and NAC casks would be preferable, as it would allow Risoe to ship all the irradiated fuel in two shipments and complete the shipments by June 2002. Risoe National Laboratory, Cogema Logistics and NAC International had twelve months to perform the shipments including licensing, basket fabrication for the NAC-LWT casks and actual transport. The paper describes the challenging work that was accomplished to meet the date of June 2002. (author)

  1. Malaria eradication: the economic, financial and institutional challenge.

    Science.gov (United States)

    Mills, Anne; Lubell, Yoel; Hanson, Kara

    2008-12-11

    Malaria eradication raises many economic, financial and institutional challenges. This paper reviews these challenges, drawing on evidence from previous efforts to eradicate malaria, with a special focus on resource-poor settings; summarizes more recent evidence on the challenges, drawing on the literature on the difficulties of scaling-up malaria control and strengthening health systems more broadly; and explores the implications of these bodies of evidence for the current call for elimination and intensified control. Economic analyses dating from the eradication era, and more recent analyses, suggest that, in general, the benefits of malaria control outweigh the costs, though few studies have looked at the relative returns to eradication versus long-term control. Estimates of financial costs are scanty and difficult to compare. In the 1960s, the consolidation phase appeared to cost less than $1 per capita and, in 1988, was estimated to be $2.31 per capita (both in 2006 prices). More recent estimates for high coverage of control measures suggest a per capita cost of several dollars. Institutional challenges faced by malaria eradication included limits to the rule of law (a major problem where malaria was concentrated in border areas with movement of people associated with illegal activities), the existence and performance of local implementing structures, and political sustainability at national and global levels. Recent analyses of the constraints to scaling-up malaria control, together with the historical evidence, are used to discuss the economic, financial and institutional challenges that face the renewed call for eradication and intensified control. The paper concludes by identifying a research agenda covering: issues of the allocative efficiency of malaria eradication, especially using macro-economic modelling to estimate the benefits and costs of malaria eradication and intensified control, and studies of the links between malaria control and economic

  2. Malaria eradication: the economic, financial and institutional challenge

    Directory of Open Access Journals (Sweden)

    Hanson Kara

    2008-12-01

    Full Text Available Abstract Malaria eradication raises many economic, financial and institutional challenges. This paper reviews these challenges, drawing on evidence from previous efforts to eradicate malaria, with a special focus on resource-poor settings; summarizes more recent evidence on the challenges, drawing on the literature on the difficulties of scaling-up malaria control and strengthening health systems more broadly; and explores the implications of these bodies of evidence for the current call for elimination and intensified control. Economic analyses dating from the eradication era, and more recent analyses, suggest that, in general, the benefits of malaria control outweigh the costs, though few studies have looked at the relative returns to eradication versus long-term control. Estimates of financial costs are scanty and difficult to compare. In the 1960s, the consolidation phase appeared to cost less than $1 per capita and, in 1988, was estimated to be $2.31 per capita (both in 2006 prices. More recent estimates for high coverage of control measures suggest a per capita cost of several dollars. Institutional challenges faced by malaria eradication included limits to the rule of law (a major problem where malaria was concentrated in border areas with movement of people associated with illegal activities, the existence and performance of local implementing structures, and political sustainability at national and global levels. Recent analyses of the constraints to scaling-up malaria control, together with the historical evidence, are used to discuss the economic, financial and institutional challenges that face the renewed call for eradication and intensified control. The paper concludes by identifying a research agenda covering: ∘ issues of the allocative efficiency of malaria eradication, especially using macro-economic modelling to estimate the benefits and costs of malaria eradication and intensified control, and studies of the links between

  3. National and Global Infrastructure of the Arctic Zone of the APR: New Challenges

    Directory of Open Access Journals (Sweden)

    Boris Khananovich Krasnopolskiy

    2015-06-01

    Full Text Available The article addresses issues of formation of the national and global infrastructure in the Arctic and its Asia-Pacific zone in the context of the new challenges in the development of the region, associated mainly with the political and military deterioration of relations between Russia and the United States. The study also characterizes international experience in the area of infrastructure researches and presents strategic documents of both countries in the sphere of the study and development of the Arctic and its territories. The author concludes that research organizations need to overcome their passivity to strengthen cooperation between these structures from both sides, which is absolutely essential for the development of a global scientific and other kinds of infrastructure and for the further successful, rational and effective exploitation of the Arctic areas

  4. The importance of fungi and mycology for addressing major global challenges*.

    Science.gov (United States)

    Lange, Lene

    2014-12-01

    In the new bioeconomy, fungi play a very important role in addressing major global challenges, being instrumental for improved resource efficiency, making renewable substitutes for products from fossil resources, upgrading waste streams to valuable food and feed ingredients, counteracting life-style diseases and antibiotic resistance through strengthening the gut biota, making crop plants more robust to survive climate change conditions, and functioning as host organisms for production of new biological drugs. This range of new uses of fungi all stand on the shoulders of the efforts of mycologists over generations: the scientific discipline mycology has built comprehensive understanding within fungal biodiversity, classification, evolution, genetics, physiology, ecology, pathogenesis, and nutrition. Applied mycology could not make progress without this platform. To unfold the full potentials of what fungi can do for both environment and man we need to strengthen the field of mycology on a global scale. The current mission statement gives an overview of where we are, what needs to be done, what obstacles to overcome, and which potentials are within reach. It further provides a vision for how mycology can be strengthened: The time is right to make the world aware of the immense importance of fungi and mycology for sustainable global development, where land, water and biological materials are used in a more efficient and more sustainable manner. This is an opportunity for profiling mycology by narrating the role played by fungi in the bioeconomy. Greater awareness and appreciation of the role of fungi can be used to build support for mycology around the world. Support will attract more talent to our field of study, empower mycologists around the world to generate more funds for necessary basic research, and strengthen the global mycology network. The use of fungi for unlocking the full potentials of the bioeconomy relies on such progress. The fungal kingdom can be an

  5. Managing change in Higher Educational Institutions in South Africa: Some challenges

    Directory of Open Access Journals (Sweden)

    L. Froneman

    2003-12-01

    Full Text Available Higher Education has a vital role in developing an internationally competitive economy, a more affluent society and a sturdy democracy. The newly released National Plan for Higher Education in South Africa should recognise the current social and economic status in the country to realign its mission, and to reconsider the location and target audience of the various institutions in the country, to optimally serve the educational needs of the communities. The proposals in the National Plan, however, attempts to attain in a few years what other stabilised countries took years. That poses major challenges to education management. The aim of this paper is to evaluate some aspects of the managerial skills in the national education authorities. By analysing the National Plan, and testing the views of a number of teaching staff, the conclusion is that there are serious doubts regarding the management acumen in the educational leadership and that various important aspects are left out in the Plan.

  6. Multiculturalism and Multi-nation Federalism. New challenges

    Directory of Open Access Journals (Sweden)

    Will Kymlicka

    2000-11-01

    Full Text Available Thank you for the kind introduction and for the very clear summary of the arguments of Multicultural Citizenship. So I thought I’d just mention a couple of the ideas that I’ve been working with more recently. The first concerns this. There are two main types of groups that I’ve been thinking of - immigrant groups and national minorities. What kinds of rights are appropriate for these two different types of groups. I discuss this in the book. I’ve been thinking a little bit just about trying to be more precise about the types of institutions and policies that are appropriate for these two kinds of groups and I’ve changed the terminology a bit. I would now talk about these in terms of immigrant multiculturalism for immigrant groups and multi-nation federalism for national minorities. So let me just say that I hope it’s not dramatically different from what’s in the book but let me just clarify what I mean by those terms, because I will use them.

  7. Responding to the challenge of antimalarial drug resistance by routine monitoring to update national malaria treatment policies

    DEFF Research Database (Denmark)

    Vestergaard, Lasse S; Ringwald, Pascal

    2007-01-01

    of rational and updated malaria treatment policies, but defining and updating such policies requires a sufficient volume of high-quality drug-resistance data collected at national and regional levels. Three main tools are used for drug resistance monitoring, including therapeutic efficacy tests, in vitro...... additional information about changing patterns of resistance. However, some of the tests are technically demanding, and thus there is a need for more resources for training and capacity building in endemic countries to be able to adequately respond to the challenge of drug resistance.......Reduced sensitivity of Plasmodium falciparum to formerly recommended cheap and well-known antimalarial drugs places an increasing burden on malaria control programs and national health systems in endemic countries. The high costs of the new artemisinin-based combination treatments underline the use...

  8. The civic and national education formation of over-fives through types and genres of fine art

    Directory of Open Access Journals (Sweden)

    Makarova A.V.

    2017-03-01

    Full Text Available this article examines the formation of the civic and national education of over-fives. The authors describe features of project oriented at long-term planning of cultivation of moral and patriotic values in the elder groups. Project mission and the major challenges are defined.

  9. OBESITY: CHALLENGES TO VENTILATORY CONTROL DURING EXERCISE A BRIEF REVIEW

    Science.gov (United States)

    Babb, Tony G.

    2013-01-01

    Obesity is a national health issue in the US. Among the many physiological changes induced by obesity, it also presents a unique challenge to ventilatory control during exercise due to increased metabolic demand of moving larger limbs, increased work of breathing due to extra weight on the chest wall, and changes in breathing mechanics. These challenges to ventilatory control in obesity can be inconspicuous or overt among obese adults but for the most part adaptation of ventilatory control during exercise in obesity appears remarkably unnoticed in the majority of obese people. In this brief review, the changes to ventilatory control required for maintaining normal ventilation during exercise will be examined, especially the interaction between respiratory neural drive and ventilation. Also, gaps in our current knowledge will be discussed. PMID:23707540

  10. Biologics industry challenges for developing diagnostic tests for the National Veterinary Stockpile.

    Science.gov (United States)

    Hardham, J M; Lamichhane, C M

    2013-01-01

    Veterinary diagnostic products generated ~$3 billion US dollars in global sales in 2010. This industry is poised to undergo tremendous changes in the next decade as technological advances move diagnostic products from the traditional laboratory-based and handheld immunologic assays towards highly technical, point of care devices with increased sensitivity, specificity, and complexity. Despite these opportunities for advancing diagnostic products, the industry continues to face numerous challenges in developing diagnostic products for emerging and foreign animal diseases. Because of the need to deliver a return on the investment, research and development dollars continue to be focused on infectious diseases that have a negative impact on current domestic herd health, production systems, or companion animal health. Overcoming the administrative, legal, fiscal, and technological barriers to provide veterinary diagnostic products for the National Veterinary Stockpile will reduce the threat of natural or intentional spread of foreign diseases and increase the security of the food supply in the US.

  11. Millennium Challenge Account

    National Research Council Canada - National Science Library

    Tarnoff, Curt

    2008-01-01

    .... foreign aid initiative. The Millennium Challenge Account (MCA) provides assistance through a competitive selection process to developing nations that are pursing political and economic reforms in three areas...

  12. National plan of response to a major nuclear or radiological accident

    International Nuclear Information System (INIS)

    2014-02-01

    The first part of this document presents the response strategies and principles to be applied in the case of a major nuclear or radiological accident. It presents the general framework and the 8 reference situations which are used as references for the plan. It presents the general organisation of crisis management by the State (initial organisation, organisation at the national level, communication channel, international channels, case of transport of radioactive materials, responsibility of the various actors). Then, it presents the strategies of response, i.e., a global strategy and more specific strategies applicable in different sectors or fields: for the control of the concerned installation or transport, in the case of transport of radioactive materials, for the protection of the population, for the taking into care, for communication, for the continuity of social and economic life, at the European level, for the post-accidental management. The second part is a guide which contains sheets describing reactions in different situations: uncertainty, accident in an installation resulting in an either immediate and short, or immediate and long, or delayed and long release, accident in a transport of radioactive materials with potential release, accident occurring abroad which may have a more or less significant impact in France, and accident at sea

  13. Issues in Business Education Programme: Challenges to National Transformation

    Science.gov (United States)

    Ajisafe, Olatunbosun Emmanuel; Bolarinwa, Kayode Omotayo; Tuke, Edeh

    2015-01-01

    Transformation engenders change, and change denotes a departure from the old order to a new one. National transformation therefore implies fundamental change in the building block of a nation; change in the social, economic, infrastructural and political landscape of a nation. For transformation to be achieved, it must encompass all levels of…

  14. Energy access. Current situation, challenges and outlook

    International Nuclear Information System (INIS)

    2014-07-01

    Globally over 1.3 billion people do not have access to electricity and 2.6 billion people rely on the traditional use of biomass for cooking. Energy access is one of the major challenges of the 21. century as it is a lever for both economic and human development, at individual and national level. Moreover, energy access represents a high-potential market and offers a lot of opportunities for private companies and industrials. In this publication, ENEA lays out the current situation of energy access (actors, actual and future needs, existing technological solutions, markets). The publication addresses the main issues energy access has to face: energy price, equipment financing, distribution, scale-up, and environmental performances

  15. Challenges, needs, and experiences of recently hospitalized cardiac patients and their informal caregivers.

    Science.gov (United States)

    Blair, Judith; Volpe, Marie; Aggarwal, Brooke

    2014-01-01

    Cardiovascular disease (CVD) is the leading cause of death in the United States. Unpaid family caregivers of patients who experienced a cardiac event may occupy a key position in disseminating continuous health messages to these patients, yet more information is needed to guide the development of educational and behavioral interventions targeting caregivers. The purpose of this qualitative study was to assess the challenges, needs, and personal experiences of cardiac patients and their informal caregivers to explore the types of programs and services that would be most beneficial in promoting adherence to national CVD guidelines among cardiac patients and their caregivers. Patients who had been admitted to the cardiovascular service line of a large urban academic medical center and their informal caregivers (N = 38, 63% women, 74% white) participated in semistructured interviews and focus groups. Participants were asked to speak about 4 major categories of their personal experiences: support, challenges, coping, and program delivery, to determine their needs, the kind of educational interventions that would be most helpful to them, and how they would prefer this information/education to be delivered. Both patients and caregivers ranked diet as the most pressing challenge (91% and 78%, respectively). The Internet, television, and social media were the preferred methods of delivery of such programs. Challenges most commonly cited by caregivers and patients included issues related to taking/administering prescribed medications and medication side effects, and mental stress. Caregivers expressed that not knowing what to expect after the patient's discharge from the hospital was a major stressor. These findings may inform the development of educational interventions targeted to cardiac caregivers so that they may be more effective in assisting the patients in their care to adhere to national CVD prevention guidelines.

  16. Sandia National Laboratories

    Data.gov (United States)

    Federal Laboratory Consortium — For more than 60 years, Sandia has delivered essential science and technology to resolve the nation's most challenging security issues.Sandia National Laboratories...

  17. Antibacterial oral natives: Studies in the Faculty of Odontolgy of the National Major University of San Marcos

    OpenAIRE

    Moromi, Hilda; Martinez Cadillo, Elba; Ramos Perfecto, Donald

    2014-01-01

    Dental caries is a disease that affects 95 % of the human population. One of the mechanisms to prevent it in modern times, is the use of natural substances, specially those thatconbin polyphenols: 1) like a simple infusion, 2) after a boiled time, and 3) like an extract after a chemical process. They also have advantages such as easy access and management, low cost and, most of all, few undesirable side effects. In the Faculiy of Odontolegy of the National Major University of San Marcos, seve...

  18. Adapting to climate change in China: achievements and challenges

    Energy Technology Data Exchange (ETDEWEB)

    Yin, Yongyuan; Cuccillato, Emanuele; Kelly, Ellen

    2011-11-15

    With millions of people dependent on natural resources and agriculture, China is very vulnerable to climate change. The need to adapt to future changes is gaining importance in the country's political agenda. The government's latest five-year plan, for example, is the first to include a section on adaptation, and the development of a national adaptation strategy is under way. But there are still major gaps in the knowledge and processes required to develop effective adaptation policies at national and local levels. Some of the key challenges include a lack of accurate regional climate models and vulnerability assessments, little integration across sectors and disciplines, and limited stakeholder engagement. The Adapting to Climate Change in China (ACCC) project is focused on these issues and is expected to significantly contribute to developing effective adaptation planning processes.

  19. Roles and challenges of the health information management educator: a national HIM faculty survey.

    Science.gov (United States)

    Houser, Shannon H; Tesch, Linde; Hart-Hester, Susan; Dixon-Lee, Claire

    2009-01-01

    Health information technology initiatives created the framework for a national health information infrastructure that concomitantly fostered a need to build intellectual capacity within our current and future health information management (HIM) work force. Results from the 2008 HIM Educator Survey are discussed. Developed for voluntary electronic participation, the survey comprised a series of questions about educators' professional interests and responsibilities. Summary data from the 402 respondents are provided and highlight areas such as academic rank, teaching status, salary range, levels of interest in various issues, and use of virtual learning tools. Data from this survey provide insights into the concerns and challenges many HIM educators face in today's training institutions and suggest implications for future directions in work force training and professional development within the HIM field.

  20. Physics momentum 'stars' draw majors

    CERN Multimedia

    Lindström, I

    2003-01-01

    Over the past decade, the number of University of Arizona students declaring physics as their major has doubled, amid a national decline. According to a recent report by the National Task Force on Undergraduate Physics, it is the university's dedication to its undergraduate physics program which draws students in (1 page).

  1. Space Robotics Challenge

    Data.gov (United States)

    National Aeronautics and Space Administration — The Space Robotics Challenge seeks to infuse robot autonomy from the best and brightest research groups in the robotics community into NASA robots for future...

  2. GLOBAL GOVERNANCE VS. NATIONAL SOVEREIGNTY IN A GLOBALIZED WORLD

    Directory of Open Access Journals (Sweden)

    Sabina TUCA

    2015-03-01

    Full Text Available The global economic and financial crisis of 2007 highlighted the risks, threats and enormous costs of a global economy in the absence of a global government. The aim of this paper is to emphasize the importance of global governance in a world in which states are facing the erosion of national sovereignty. The two concepts are being analyzed from various points of view, including current challenges and future scenarios. Despite the fact that states, especially major powers, are not prepared to accept some elements of global governance and the limits that they would put on their national sovereignty, recent developments seem to make global governance a key component of the international scene.

  3. Self trust, a major challenge for nuclear regulators

    Energy Technology Data Exchange (ETDEWEB)

    Eibenschutz, J. [National Nuclear Safety and Safeguards Commission (CNSN), Mexico City (Mexico)

    2014-07-01

    Self trust. The nuclear community and particularly nuclear regulators overreact to accidents, this has been the case with the three NPP major accidents. Lowering admissible radiation levels, for example, conveys the wrong message to politicians and the general public, and contributes to enhance mistrust towards nuclear. Industry as well as regulators should mature and act with self respect, since the scientific bases of regulation are very solid and should be trusted. Lessons learned should be seriously pursued in spite of the 'uneven playing field'. Obviously safety continues as the main priority, but paranoid reactions from the nuclear professionals could destroy the future of nuclear power. (author)

  4. Self trust, a major challenge for nuclear regulators

    International Nuclear Information System (INIS)

    Eibenschutz, J.

    2014-01-01

    Self trust. The nuclear community and particularly nuclear regulators overreact to accidents, this has been the case with the three NPP major accidents. Lowering admissible radiation levels, for example, conveys the wrong message to politicians and the general public, and contributes to enhance mistrust towards nuclear. Industry as well as regulators should mature and act with self respect, since the scientific bases of regulation are very solid and should be trusted. Lessons learned should be seriously pursued in spite of the 'uneven playing field'. Obviously safety continues as the main priority, but paranoid reactions from the nuclear professionals could destroy the future of nuclear power. (author)

  5. Obesity: challenges to ventilatory control during exercise--a brief review.

    Science.gov (United States)

    Babb, Tony G

    2013-11-01

    Obesity is a national health issue in the US. Among the many physiological changes induced by obesity, it also presents a unique challenge to ventilatory control during exercise due to increased metabolic demand of moving larger limbs, increased work of breathing due to extra weight on the chest wall, and changes in breathing mechanics. These challenges to ventilatory control in obesity can be inconspicuous or overt among obese adults but for the most part adaptation of ventilatory control during exercise in obesity appears remarkably unnoticed in the majority of obese people. In this brief review, the changes to ventilatory control required for maintaining normal ventilation during exercise will be examined, especially the interaction between respiratory neural drive and ventilation. Also, gaps in our current knowledge will be discussed. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. Challenges for ICT/UCT Applications and Cultural Heritage

    Directory of Open Access Journals (Sweden)

    Kim H. Veltman

    2005-06-01

    Full Text Available While a precise forecast for the next decades is clearly impossible, some major challenges that need to be addressed in the next 10-20 years can be identified. Technologically there will be a shift from Information and Communication Technologies (ICT to Universal Convergence Technologies (UCT. In the cultural realm, these challenges include problems of repositories, the changing scope of cultural heritage; new links between national, regional and local; between culture, knowledge and scholarship; approaches to intellectual property and to models of culture. Five dangers are outlined, namely, over-zealous commercialism; anti-technology among scholars, anti-universal narratives; forgetting the past and a systematic destruction of memory. The need for a permanent E-Culture Net is outlined which would a address these challenges; b develop critical methods; c create new models of culture that transcend Euro-Centric visions and d focus on a Distributed European Electronic Resource (DEER.The American vision of the Internet remains focusses largely on uni-lingual e-commerce. By contrast, the European vision, through its links with tourism, clearly has financial dimensions, and at the same time is developing a multi-lingual approach to cultural heritage that includes historical and cultural dimensions. This vision extends beyond culture to new definitions of knowledge. While the rhetoric of the day may focus on profit schedules for the next quarter, it is important to recall that major changes in new media have much longer cycles entailing decades and even centuries before their full effects are appreciated.

  7. Integrating Mercury Science and Policy in the Marine Context: Challenges and Opportunities

    Science.gov (United States)

    Lambert, Kathleen F.; Evers, David C.; Warner, Kimberly A.; King, Susannah L.; Selin, Noelle E.

    2014-01-01

    Mercury is a global pollutant and presents policy challenges at local, regional, and global scales. Mercury poses risks to the health of people, fish, and wildlife exposed to elevated levels of mercury, most commonly from the consumption of methylmercury in marine and estuarine fish. The patchwork of current mercury abatement efforts limits the effectiveness of national and multi-national policies. This paper provides an overview of the major policy challenges and opportunities related to mercury in coastal and marine environments, and highlights science and policy linkages of the past several decades. The U.S. policy examples explored here point to the need for a full life cycle approach to mercury policy with a focus on source reduction and increased attention to: (1) the transboundary movement of mercury in air, water, and biota; (2) the coordination of policy efforts across multiple environmental media; (3) the cross-cutting issues related to pollutant interactions, mitigation of legacy sources, and adaptation to elevated mercury via improved communication efforts; and (4) the integration of recent research on human and ecological health effects into benefits analyses for regulatory purposes. Stronger science and policy integration will benefit national and international efforts to prevent, control, and minimize exposure to methylmercury. PMID:22901766

  8. Los Alamos National Laboratory A National Science Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Chadwick, Mark B. [Los Alamos National Laboratory

    2012-07-20

    Our mission as a DOE national security science laboratory is to develop and apply science, technology, and engineering solutions that: (1) Ensure the safety, security, and reliability of the US nuclear deterrent; (2) Protect against the nuclear threat; and (3) Solve Energy Security and other emerging national security challenges.

  9. The opportunities and challenges of multi-site evaluations: lessons from the jail diversion and trauma recovery national cross-site evaluation.

    Science.gov (United States)

    Stainbrook, Kristin; Penney, Darby; Elwyn, Laura

    2015-06-01

    Multi-site evaluations, particularly of federally funded service programs, pose a special set of challenges for program evaluation. Not only are there contextual differences related to project location, there are often relatively few programmatic requirements, which results in variations in program models, target populations and services. The Jail Diversion and Trauma Recovery-Priority to Veterans (JDTR) National Cross-Site Evaluation was tasked with conducting a multi-site evaluation of thirteen grantee programs that varied along multiple domains. This article describes the use of a mixed methods evaluation design to understand the jail diversion programs and client outcomes for veterans with trauma, mental health and/or substance use problems. We discuss the challenges encountered in evaluating diverse programs, the benefits of the evaluation in the face of these challenges, and offer lessons learned for other evaluators undertaking this type of evaluation. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Nuclear Security Systems and Measures for Major Public Events. Implementing Guide (Russian Edition)

    International Nuclear Information System (INIS)

    2014-01-01

    Terrorism remains a threat to international stability and security. High profile international and national major public events occur regularly, capturing great public interest and receiving intense media coverage. It is widely acknowledged that there is a substantial threat of a terrorist attack on major public events such as high profile political or economic summit meetings or major sporting contests. The threat of nuclear and radiological terrorism remains on the international security agenda. Nevertheless, to reduce this risk, the international community has made great progress in securing nuclear and other radioactive material that could otherwise be used in a terrorist act. This progress is contingent on the efforts of all States to adopt strong nuclear security systems and measures. There are large quantities of diverse radioactive material in existence, which are used in areas such as health, the environment, agriculture and industry. The hazards of this material vary according to composition and intensity. Additionally, the use of explosives in combination with this material can drastically enhance the impact of a criminal or terrorist act. If a criminal or terrorist group managed to detonate a so-called 'dirty' bomb in an urban area, the result could be mass panic, widespread radioactive contamination and major economic and social disruption. Major public events are seldom held in the same State or at the same location or even at the same venue. At the national level, the hosting of major public events with proper nuclear security arrangements can provide a foundation on which to build an enduring national framework for nuclear security; one that can exist long after the event. The organization of a major public event in which large numbers of people congregate presents complex security challenges for the State hosting such an event. Criminal or terrorist acts involving nuclear or other radioactive material at any major public event could result in

  11. Information for decision making from imperfect national data: tracking major changes in health care use in Kenya using geostatistics

    Directory of Open Access Journals (Sweden)

    Hay Simon I

    2007-12-01

    Full Text Available Abstract Background Most Ministries of Health across Africa invest substantial resources in some form of health management information system (HMIS to coordinate the routine acquisition and compilation of monthly treatment and attendance records from health facilities nationwide. Despite the expense of these systems, poor data coverage means they are rarely, if ever, used to generate reliable evidence for decision makers. One critical weakness across Africa is the current lack of capacity to effectively monitor patterns of service use through time so that the impacts of changes in policy or service delivery can be evaluated. Here, we present a new approach that, for the first time, allows national changes in health service use during a time of major health policy change to be tracked reliably using imperfect data from a national HMIS. Methods Monthly attendance records were obtained from the Kenyan HMIS for 1 271 government-run and 402 faith-based outpatient facilities nationwide between 1996 and 2004. A space-time geostatistical model was used to compensate for the large proportion of missing records caused by non-reporting health facilities, allowing robust estimation of monthly and annual use of services by outpatients during this period. Results We were able to reconstruct robust time series of mean levels of outpatient utilisation of health facilities at the national level and for all six major provinces in Kenya. These plots revealed reliably for the first time a period of steady nationwide decline in the use of health facilities in Kenya between 1996 and 2002, followed by a dramatic increase from 2003. This pattern was consistent across different causes of attendance and was observed independently in each province. Conclusion The methodological approach presented can compensate for missing records in health information systems to provide robust estimates of national patterns of outpatient service use. This represents the first such use of

  12. The quest for nuclear technology and the challenges of knowledge management in Nigeria

    International Nuclear Information System (INIS)

    Mundu, A.; Umar, A.M.

    2004-01-01

    The major milestones in the quest for nuclear technology were highlighted, followed by a review of nuclear application in research and development, health, water resource management and agriculture.the past activities of the national INIS centre particularly with respect to submission of input, promotion and knowledge management were examined. And a repositioned INIS centre to meet the challenges of nuclear information management and the emerging trend in knowledge management was presented with specific target in the short and the long term. (author)

  13. HUMAN CAPITAL: Major Human Capital Challenges at SEC and Key Trade Agencies

    National Research Council Canada - National Science Library

    Hillman, Richard

    2002-01-01

    .... The leadership provided by this subcommittee and the Senate Committee on Governmental Affairs has been especially important in focusing attention on the federal government s human capital challenges.

  14. 2010 Panel on the Biomaterials Grand Challenges

    Science.gov (United States)

    Reichert, William “Monty”; Ratner, Buddy D.; Anderson, James; Coury, Art; Hoffman, Allan S.; Laurencin, Cato T.; Tirrell, David

    2014-01-01

    In 2009, the National Academy for Engineering issued the Grand Challenges for Engineering in the 21st Century comprised of 14 technical challenges that must be addressed to build a healthy, profitable, sustainable, and secure global community (http://www.engineeringchallenges.org). Although crucial, none of the NEA Grand Challenges adequately addressed the challenges that face the biomaterials community. In response to the NAE Grand Challenges, Monty Reichert of Duke University organized a panel entitled Grand Challenges in Biomaterials at the at the 2010 Society for Biomaterials Annual Meeting in Seattle. Six members of the National Academies—Buddy Ratner, James Anderson, Allan Hoffman, Art Coury, Cato Laurencin, and David Tirrell—were asked to propose a grand challenge to the audience that, if met, would significantly impact the future of biomaterials and medical devices. Successfully meeting these challenges will speed the 60-plus year transition from commodity, off-the-shelf biomaterials to bioengineered chemistries, and biomaterial devices that will significantly advance our ability to address patient needs and also to create new market opportunities. PMID:21171147

  15. Challenges and opportunities associated with waste management in India

    Science.gov (United States)

    Kumar, Sunil; Smith, Stephen R.; Fowler, Geoff; Velis, Costas; Kumar, S. Jyoti; Arya, Shashi; Rena; Kumar, Rakesh

    2017-01-01

    India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on ‘Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries’ organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India. PMID:28405362

  16. Challenges and opportunities associated with waste management in India.

    Science.gov (United States)

    Kumar, Sunil; Smith, Stephen R; Fowler, Geoff; Velis, Costas; Kumar, S Jyoti; Arya, Shashi; Rena; Kumar, Rakesh; Cheeseman, Christopher

    2017-03-01

    India faces major environmental challenges associated with waste generation and inadequate waste collection, transport, treatment and disposal. Current systems in India cannot cope with the volumes of waste generated by an increasing urban population, and this impacts on the environment and public health. The challenges and barriers are significant, but so are the opportunities. This paper reports on an international seminar on 'Sustainable solid waste management for cities: opportunities in South Asian Association for Regional Cooperation (SAARC) countries' organized by the Council of Scientific and Industrial Research-National Environmental Engineering Research Institute and the Royal Society. A priority is to move from reliance on waste dumps that offer no environmental protection, to waste management systems that retain useful resources within the economy. Waste segregation at source and use of specialized waste processing facilities to separate recyclable materials has a key role. Disposal of residual waste after extraction of material resources needs engineered landfill sites and/or investment in waste-to-energy facilities. The potential for energy generation from landfill via methane extraction or thermal treatment is a major opportunity, but a key barrier is the shortage of qualified engineers and environmental professionals with the experience to deliver improved waste management systems in India.

  17. Teacher Education, Information and Communication Technology: Prospects and Challenges of E-Teaching Profession in Nigeria

    OpenAIRE

    Thomas Olabode Owolabi; Babatope Kolade Oyewole; Jonathan O. Oke

    2013-01-01

    Teachers are indispensable within the teaching – learning process. Hence, they constitute a major input in the accomplishment of educational goals and objectives in all nations. In Nigeria, teacher education has been bedeviled with a lot of challenges in the modern day technology of imparting knowledge in the teaching and learning process. Information and Communication Technology (ICT) is relatively a very new development in Nigerian educational system. ICT plays a significant role in teache...

  18. Investigating Challenges Facing Self-Management Empowerment Education in Adolescents and Youths with Major Thalassemia

    Directory of Open Access Journals (Sweden)

    Razzazan

    2014-10-01

    Full Text Available Background Thalassemia is considered an important public health problem worldwide, especially in developing and poor countries. Although several advanced techniques have been developed for prevention of thalassemia in the recent years, many adolescents and youths are still living with this disease. Independence from parents, decisions about high-risk behaviors, uncovering the identity, and adapting to mental and physical effects of the disease occur together in adolescents. Objectives This study was conducted to explore challenges of self-management empowerment in adolescents and youths with major thalassemia. Materials and Methods This was a descriptive-exploratory study. The study population consisted of adolescents and youths with major thalassemia who had medical records in the Bushehr Thalassemia Center, affiliated with Bushehr University of Medical Sciences. The study samples were purposively selected. Demographic information questionnaire and empowerment questionnaire were used to collect data from the semistructured interview. We analyzed qualitative data by content analysis method and quantitative data by descriptive (mean, standard deviation and analytical (Student's t-test, ANOVA and Pearson’s correlation coefficient statistical methods, using the statistical software SPSS 18. Results In qualitative part of the study, data from semistructured in-depth interviews with 15 participants were coded and summarized in five themes including: 1 awareness of personal changes; 2 need for adaptation; 3 maintaining independence and self-management; 4 uncovering the identity and role playing; and 5 sense of control and satisfaction. Results of the quantitative part showed that the overall score of participants on empowerment was 92.46 of 149 scores, which showed a moderate situation in the empowerment of these individuals. In addition, the empowerment score showed no statistically significant correlation with demographic characteristics

  19. Detecting vegetation change using multi-temporal aerial photographs at Cadillac Mountain in Acadia National Park, Maine

    Science.gov (United States)

    Min Kook Kim; Andrea J. Ednie; John J. Daigle

    2007-01-01

    Cadillac Mountain, the highest peak on the Eastern Seaboard, is a major destination for Acadia National Park visitors. Managing vegetation impacts on Cadillac is extremely challenging given the high use and fragile environmental conditions. A number of direct and indirect management strategies have been employed to help to reduce the amount of vegetation impact. The...

  20. Infrastructure development for electrical mobility: a Nordic perspective on national and cross-national challenges

    DEFF Research Database (Denmark)

    Klitkou, Antje; Iversen, Eric; Borup, Mads

    level. This paper studies the national cases of Norway and Denmark within the context of the seemingly homogenous Nordic region. The paper focuses on the different approaches taken at the national level to build battery electric vehicle (BEV) recharging infrastructure. Norway and Denmark provide apt...

  1. [Improving treatment adherence in kidney transplantation: a major challenge].

    Science.gov (United States)

    Kessler, Michèle

    2014-06-01

    The kidney transplant recipient is faced not only with the perspective of taking immunosuppressive drugs lifelong, but also the possibility of other long-term treatments prescribed for preexisting conditions, complications, or side effects. Proper management, and most importantly patient adherence, can become a complex challenge. Here we recall current definitions and describe methods for measuring treatment adherence, followed by a discussion on the prevalence of non-adherence in kidney transplant recipients, its effect on graft survival, and factors predictive of non-adherence. Ways of improving adherence are examined, leading to the conviction that helping patients take their medications regularly would probably have a greater impact on graft survival than marketing a new immunosuppressive agent. Copyright © 2014 Association Société de néphrologie. Published by Elsevier SAS. All rights reserved.

  2. Ensuring energy security in ASEAN countries: Current trends and major challenges

    Science.gov (United States)

    Senderov, Sergey; Vorobev, Sergey

    2018-01-01

    The paper discusses the issues of formation of future challenges to energy security of the ASEAN countries in the period up to 2035. The article gives examples of strategic threats to the energy security of Russia. The opportunities to meet future demand for primary energy for individual countries of ASEAN and the whole region are discussed.

  3. Challenges of Transit Oriented Development (TOD in Iran. The Need for a Paradigm Shift

    Directory of Open Access Journals (Sweden)

    Mahta Mirmoghtadaee

    2016-10-01

    The major contention of this paper is to discuss the general concept of TOD, its benefits and challenges in Iranian urban context. It is discussed here that TOD has several positive outcomes considering the existing urbanization trends in Iran. It may be used as a practical instrument to deal with rapidly urbanizing country in which motorization rate is increasing and air pollution is the serious cause of life loss. However there are several challenges which should be faced. The need for an Iranian version of TOD, which re-narrated the theory according to local situation, is the first challenge. A paradigm shift in the government, shifting the priority from housing schemes to mass transit systems is the second challenge needed to be taken into consideration. The third challenge is the overlapping and parallel institutions dealing with mass transit systems in urban and regional transportation planning and insufficient planning instruments. The integrated transportation and urban planning system is necessary here, and there is an urgent need to develop a national TOD guideline with the potential to develop local versions for each city.

  4. Evolving legal framework of corporate governance in India – issues and challenges

    Directory of Open Access Journals (Sweden)

    Pankaj Kumar GUPTA

    2014-12-01

    Full Text Available Investors now started considering corporate governance as very essential factor before investment especially in view of the unstable environment in the securities market. It is considered that good corporate governance inspires, strengthens and maintains investor’s confidence by ensuring company’s commitment to higher growth and profits. Corporate Governance has become a major concern for global economies particularly the transition world. Sound corporate governance is extremely important for transition economies for creation of the key institutions, the private corporations, which drive the successful economic transformation to a market based economy, effective allocation of capital and development of financial markets, attracting foreign investment and making a contribution to the process of national development. The Corporate Governance issue has emerged primarily because of the growing importance of corporations in the national economies and their interaction with the international agencies and institutions. This paper presents the current scenario of corporate governance in India, the evolving legal framework and identified the major issues and challenges that need to be addressed to implement an effective system of corporate governance in India.

  5. New Strategies and Challenges in Lung Proteomics and Metabolomics. An Official American Thoracic Society Workshop Report.

    Science.gov (United States)

    Bowler, Russell P; Wendt, Chris H; Fessler, Michael B; Foster, Matthew W; Kelly, Rachel S; Lasky-Su, Jessica; Rogers, Angela J; Stringer, Kathleen A; Winston, Brent W

    2017-12-01

    This document presents the proceedings from the workshop entitled, "New Strategies and Challenges in Lung Proteomics and Metabolomics" held February 4th-5th, 2016, in Denver, Colorado. It was sponsored by the National Heart Lung Blood Institute, the American Thoracic Society, the Colorado Biological Mass Spectrometry Society, and National Jewish Health. The goal of this workshop was to convene, for the first time, relevant experts in lung proteomics and metabolomics to discuss and overcome specific challenges in these fields that are unique to the lung. The main objectives of this workshop were to identify, review, and/or understand: (1) emerging technologies in metabolomics and proteomics as applied to the study of the lung; (2) the unique composition and challenges of lung-specific biological specimens for metabolomic and proteomic analysis; (3) the diverse informatics approaches and databases unique to metabolomics and proteomics, with special emphasis on the lung; (4) integrative platforms across genetic and genomic databases that can be applied to lung-related metabolomic and proteomic studies; and (5) the clinical applications of proteomics and metabolomics. The major findings and conclusions of this workshop are summarized at the end of the report, and outline the progress and challenges that face these rapidly advancing fields.

  6. The MedlinePlus public user interface: studies of design challenges and opportunities

    Science.gov (United States)

    Marill, Jennifer L.; Miller, Naomi; Kitendaugh, Paula

    2006-01-01

    Question: What are the challenges involved in designing, modifying, and improving a major health information portal that serves over sixty million page views a month? Setting: MedlinePlus, the National Library of Medicine's (NLM's) consumer health Website, is examined. Method: Challenges are presented as six “studies,” which describe selected design issues and how NLM staff resolved them. Main Result: Improving MedlinePlus is an iterative process. Changes in the public user interface are ongoing, reflecting Web design trends, usability testing recommendations, user survey results, new technical requirements, and the need to grow the site in an orderly way. Conclusion: Testing and analysis should accompany Website design modifications. New technologies may enhance a site but also introduce problems. Further modifications to MedlinePlus will be informed by the experiences described here. PMID:16404467

  7. United Nations Peacekeeping Operations: Challenges and Opportunities

    Science.gov (United States)

    2012-04-27

    close the gap between aspiration and performance…makes the difference between civilisation and chaos” AND OPPORTUNITIES - Dag Hammarskjöld...ONUB) and left behind a democratic local and national structure. 10 UN also successfully completed the referendum in Sudan in 2011(UNMIS) which

  8. CHALLENGES OF THE KNOWLEDGE SOCIETY: EXPLORING THE CASE OF QATAR

    Directory of Open Access Journals (Sweden)

    Fethi. B Jomaa AHMED

    2018-05-01

    Full Text Available Qatar’s Permanent Constitution and National Vision 2030 constituted the turning point in Qatar’s transition towards knowledge society. Articles 22-49 of Qatar’s Permanent Constitution together with the 4 pillars of Qatar’s National Vision 2030 explicitly refer to the importance of knowledge acquisition, production and dissemination, and promotion of human socioeconomic development. Qatar has remarkably invested in education, human capital, R&D, and ICT. Institutions such as Qatar Foundation (QF and its entities like Qatar National Research Fund (QNRF, Qatar Science and Technology Park (QSTP, in addition to Qatar University and ictQatar are in the heart of Qatar’s knowledge society construction. Moreover, Qatar has capitalized in importing existing organizational capacity, faculty and staff, and accumulated reputation of a number of eminent global higher education institutions such as Georgetown University, Texas A&M University, and Weill Cornell Medical College. Despite many years of substantial investments in human capital, ICT and the relevant infrastructures, Qatar’s transition toward knowledge society is facing serious challenges. These challenges relate to reform and development of education and training to make knowledge as a principal driver of growth, diversification of the economy to ensure endurance of adequate revenues to fund projects, resolve the expatriate and workforce issues to ensure excellence and efficiency, efficient management of growth and uncontrolled expansion to avoid duplication of works and waste of recourses, good governance across government and private sectors and projects to cope with modernization, balancing between modernization and preservation of traditions in responding to the convergent impacts of globalization, balancing the needs of current generation and the needs of future generations, and sustain the environment. The aim of this paper is threefold: Outline the main features of Qatar society

  9. An analysis of the major challenges and obstacles for international technical cooperation in health, Brazil-Mozambique.

    Science.gov (United States)

    Pereira, Eduardo Mazzaroppi Barao

    2017-07-01

    Health has become a priority issue on the agenda in relation to Brazilian international technical cooperation in the last decade. This applies to Mozambique which is a strategic partner of Brazil's when one takes into consideration the volume of projects that have been undertaken between the two countries and the available resources on offer. There has been a shift in the foreign policy paradigm which has resulted in a new Brazilian foreign policy posture that promotes bilateral agreements and international cooperation. On conducting a retrospective and current analysis it is clear that there are, however, major obstacles and challenges for bilateral agreements and technical international cooperation that require in-depth study and which need to be dealt with in the area of health. This paper seeks to identify and analyze these obstacles with a view to providing proposals for ways forward. It takes the approach of using the methodology of reviewing specialized journals on this topic as well as using qualitative research from the main actors and institutions involved in bilateral cooperation.

  10. The U.S. National Hydrogen Storage Project

    International Nuclear Information System (INIS)

    Sunita Satyapal; Carole Read; Grace Ordaz; John Petrovic; George Thomas

    2006-01-01

    Hydrogen is being considered by many countries as a potential energy carrier for vehicular applications. In the United States, hydrogen-powered vehicles must possess a driving range of greater than 300 miles in order to meet customer requirements and compete effectively with other technologies. For the overall vehicular fleet, this requires that a range of 5-13 kg of hydrogen be stored on-board. The storage of such quantities of hydrogen within vehicular weight, volume, and system cost constraints is a major scientific and technological challenge. The targets for on-board hydrogen storage were established in the U.S. through the FreedomCAR and Fuel partnership, a partnership among the U.S. Department of Energy, the U.S. Council for Automotive Research (USCAR) and major energy companies. In order to achieve these long-term targets, the Department of Energy established a National Hydrogen Storage Project to develop the areas of metal hydrides, chemical hydrogen storage, carbon-based and high-surface-area sorbent materials, and new hydrogen storage materials and concepts. The current status of vehicular hydrogen storage is reviewed and hydrogen storage research associated with the National Hydrogen Storage Project is discussed. (authors)

  11. Challenges to and the future of medication safety in Saudi Arabia: A qualitative study

    Science.gov (United States)

    Aljadhey, Hisham; Mahmoud, Mansour Adam; Hassali, Mohamed Azmi; Alrasheedy, Alian; Alahmad, Amjad; Saleem, Fahad; Sheikh, Aziz; Murray, Michael; Bates, David W.

    2013-01-01

    drug reactions reporting, use of technology proven to decrease medication errors, and promotion and implementation of national patient safety initiatives. Conclusions Healthcare professionals have identified major challenges and opportunities for medication safety in Saudi Arabia. Policy makers and practitioners should consider these factors when designing future programs aimed at improving the safe use of medications. PMID:25161376

  12. Multisectoral Actions for Health: Challenges and Opportunities in Complex Policy Environments

    Directory of Open Access Journals (Sweden)

    Viroj Tangcharoensathien

    2017-07-01

    Full Text Available Multisectoral actions for health, defined as actions undertaken by non-health sectors to protect the health of the population, are essential in the context of inter-linkages between three dimensions of sustainable development: economic, social, and environmental. These multisectoral actions can address the social and economic factors that influence the health of a population at the local, national, and global levels. This editorial identifies the challenges, opportunities and capacity development for effective multisectoral actions for health in a complex policy environment. The root causes of the challenges lie in poor governance such as entrenched political and administrative corruption, widespread clientelism, lack of citizen voice, weak social capital, lack of trust and lack of respect for human rights. This is further complicated by the lack of government effectiveness caused by poor capacity for strong public financial management and low levels of transparency and accountability which leads to corruption. The absence of or rapid changes in government policies, and low salary in relation to living standards result in migration out of qualified staff. Tobacco, alcohol and sugary drink industries are major risk factors for non-communicable diseases (NCDs and had interfered with health policy through regulatory capture and potential law suits against the government. Opportunities still exist. Some World Health Assembly (WHA and United Nations General Assembly (UNGA resolutions are both considered as external driving forces for intersectoral actions for health. In addition, Thailand National Health Assembly under the National Health Act is another tool providing opportunity to form trust among stakeholders from different sectors.

  13. National Knowledge Commission

    Science.gov (United States)

    Pitroda, Sam

    2007-04-01

    India's National Knowledge Commission (NKC) established by the prime minister is focused on building institutions and infrastructure in Education, Science and Technology, Innovation etc. to meet the challenges of the knowledge economy in the 21st century and increase India's competitive advantage in the global market. India today stands poised to reap the benefits of a rapidly growing economy and a major demographic advantage, with 550 million young people below the age of 25 years, the largest in the world. The NKC is focused on five critical areas of knowledge related to access, concepts, creation, applications and services. This includes a variety of subject areas such as language, translations, libraries, networks, portals, affirmative action, distance learning, intellectual property, Entrepreneurship, application in Agriculture, health, small and medium scale industries, e-governance etc. One of the keys to this effort is to build a national broadband gigabit of networks of 500 nodes to connect universities, Libraries, Laboratories, Hospitals, Agriculture institutions etc. to share resources and collaborate on multidisciplinary activities. This presentation will introduce the NKC, discuss methodology, subject areas, specific recommendation and outline a plan to build knowledge networks and specifics on network architecture, applications, and utilities.

  14. An assessment of the radiation protection programme within a major multi-national oil service company

    International Nuclear Information System (INIS)

    Nelis, P.; Simpkin, P.; Christie, K.

    2002-01-01

    In this paper we are going to look at the radiation protection programme which has been developed within one of the corporation's newer operating divisions, Baker Hughes INTEQ, which is a major supplier of drilling and real-time formation evaluation services. These enable the company to steer and drill complex wells, in the most challenging down-hole environments, into multiple target zones in oil and gas reservoirs. We will focus here on INTEQ's measurement while drilling or MWD services. These provide precise well navigation information and evaluation of the formation being drilled through, in real time, to the rig operators. Prior to the development of MWD technology, such information could only be obtained by lowering equipment into the hole after the drill had been removed, using wireline logging techniques. MWD tools carrying radioactive sources, commonly known in the oil field, albeit incorrectly, as nuclear tools, provide information on the density and porosity of the underground formation being drilled through

  15. Facing tomorrow's challenges: U.S. Geological Survey science in the decade 2007-2017

    Science.gov (United States)

    ,

    2007-01-01

    In order for the U.S. Geological Survey (USGS) to respond to evolving national and global priorities, it must periodically reflect on, and optimize, its strategic directions. This report is the first comprehensive science strategy since the early 1990s to examine critically major USGS science goals and priorities. The development of this science strategy comes at a time of global trends and rapidly evolving societal needs that pose important natural-science challenges. The emergence of a global economy affects the demand for all resources. The last decade has witnessed the emergence of a new model for managing Federal lands-ecosystem-based management. The U.S. Climate Change Science Program predicts that the next few decades will see rapid changes in the Nation's and the Earth's environment. Finally, the natural environment continues to pose risks to society in the form of volcanoes, earthquakes, wildland fires, floods, droughts, invasive species, variable and changing climate, and natural and anthropogenic toxins, as well as animal-borne diseases that affect humans. The use of, and competition for, natural resources on the global scale, and natural threats to those resources, has the potential to impact the Nation's ability to sustain its economy, national security, quality of life, and natural environment. Responding to these national priorities and global trends requires a science strategy that not only builds on existing USGS strengths and partnerships but also demands the innovation made possible by integrating the full breadth and depth of USGS capabilities. The USGS chooses to go forward in the science directions proposed here because the societal issues addressed by these science directions represent major challenges for the Nation's future and for the stewards of Federal lands, both onshore and offshore. The six science directions proposed in this science strategy are listed as follows. The ecosystems strategy is listed first because it has a dual nature

  16. Data Management Challenges in a National Scientific Program of 55 Diverse Research Projects

    Science.gov (United States)

    De Bruin, T.

    2016-12-01

    In 2007-2015, the Dutch funding agency NWO funded the National Ocean and Coastal Research Program (in Dutch: ZKO). This program focused on `the scientific analysis of five societal challenges related to a sustainable use of the sea and coastal zones'. These five challenges were safety, economic yield, nature, spatial planning & development and water quality. The ZKO program was `set up to strengthen the cohesion and collaboration within Dutch marine research'. From the start of the program, data management was addressed, to allow data to be shared amongst the, diverse, research projects. The ZKO program was divided in 4 different themes (or regions). The `Carrying Capacity' theme was subdivided into 3 `research lines': Carrying capacity (Wadden Sea) - Policy-relevant Research - Monitoring - Hypothesis-driven Research Oceans North Sea Transnational Wadden Sea Research 56 Projects were funded, ranging from studies on the governance of the Wadden Sea to expeditions studying trace elements in the Atlantic Ocean. One of the first projects to be funded was the data management project. Its objectives were to allow data exchange between projects, to archive all relevant data from all ZKO projects and to make the data and publications publicly available, following the ZKO Data Policy. This project was carried out by the NIOZ Data Management Group. It turned out that the research projects had hardly any interest in sharing data between projects and had good (?) arguments not to share data at all until the end of the projects. A data portal was built, to host and make available all ZKO data and publications. When it came to submitting the data to this portal, most projects obliged willingly, though found it occasionally difficult to find time to do so. However, some projects refused to submit data to an open data portal, despite the rules set up by the funding agency and agreed by all. The take-home message of this presentation is that data sharing is a cultural and

  17. The challenges of biofuels from the perspective of small-scale producers in Ohio

    International Nuclear Information System (INIS)

    Morrone, Michele; Stuart, Ben J.; McHenry, Izaak; Buckley, Geoffrey L.

    2009-01-01

    Increased interest in renewable fuels in the United States, such as biodiesel and ethanol, is mainly the result of higher cost for traditional fuels after years of low prices. A growing concern over oil imports from politically unstable parts of the world has also led people to seriously consider alternatives to gasoline. Despite this attention, there are issues that challenge the widespread acceptance of biofuels, including the availability of raw materials and food security concerns. Ohio is one of the most productive agricultural states in the country, able to contribute significant amounts of corn and soybeans, the main feedstock for biofuels. Even though Ohio is rich in the raw materials needed for biofuel production, it is still an endeavor that mainly involves small businesses that face numerous challenges. Some of these challenges are national in scope, while others are localized. Interviews with small-scale biofuels producers in Ohio identify some of the major political, economic, and perceptual hurdles confronting this fledgling industry

  18. THE QATAR HEALTH SYSTEM: CHALLENGES AND OPPORTUNITIES

    Directory of Open Access Journals (Sweden)

    Shaher ALSHAMARI

    2017-06-01

    Full Text Available Qatar’s healthcare system is comparatively new and has experienced noteworthy developments over its brief history. In this paper, our aim is to look at the unique challenges this small nation has faced in building that system. This paper will describe the accomplishments of Qatar’s medical authorities and the challenges they faced. It will also compare public and private healthcare providers. Today, the government of Qatar has financed all the health care for this rapidly-developing, multicultural nation, but it is now planning to introduce medical insurance. This report of its experience will benefit other nations wanting to develop their own healthcare systems.

  19. Innovative Approaches To Educating Medical Students for Practice in a Changing Health Care Environment: The National UME-21 Project.

    Science.gov (United States)

    Rabinowitz, Howard K.; Babbott, David; Bastacky, Stanford; Pascoe, John M.; Patel, Kavita K.; Pye, Karen L.; Rodak, John, Jr.; Veit, Kenneth J.; Wood, Douglas L.

    2001-01-01

    Describes the major curriculum changes that have been implemented through Undergraduate Medical Education for the 21st Century (UME-21), a 3-year national demonstration project to encourage innovation in medical education. Discusses challenges that occurred in carrying out those changes, and outlines the strategies for evaluating the project. (EV)

  20. Laboratory challenges in the scaling up of HIV, TB, and malaria programs: The interaction of health and laboratory systems, clinical research, and service delivery.

    Science.gov (United States)

    Birx, Deborah; de Souza, Mark; Nkengasong, John N

    2009-06-01

    Strengthening national health laboratory systems in resource-poor countries is critical to meeting the United Nations Millennium Development Goals. Despite strong commitment from the international community to fight major infectious diseases, weak laboratory infrastructure remains a huge rate-limiting step. Some major challenges facing laboratory systems in resource-poor settings include dilapidated infrastructure; lack of human capacity, laboratory policies, and strategic plans; and limited synergies between clinical and research laboratories. Together, these factors compromise the quality of test results and impact patient management. With increased funding, the target of laboratory strengthening efforts in resource-poor countries should be the integrating of laboratory services across major diseases to leverage resources with respect to physical infrastructure; types of assays; supply chain management of reagents and equipment; and maintenance of equipment.

  1. Asian Perspectives on the Challenges of China

    National Research Council Canada - National Science Library

    2001-01-01

    The Institute for National Strategic Studies (INSS) held its annual Pacific symposium on Asian Perspectives on the Challenges of China" at the National Defense University in Washington on March 7 and 8, 2000...

  2. The International Data Sharing Challenge: Realities and Lessons Learned from International Field Projects and Data Analysis Efforts

    Science.gov (United States)

    Williams, S. F.; Moore, J. A.

    2014-12-01

    One of the major challenges facing science in general is how foster trust and cooperation between nations that then allows the free and open exchange of data. The rich data coming from many nations conducting Arctic research must be allowed to be brought together to understand and assess the huge changes now underway in the Arctic regions. The NCAR Earth Observing Laboratory has been supporting a variety of international field process studies and WCRP sponsored international projects that require international data collection and exchange in order to be successful. Some of the programs include the Surface Heat Budget of the Arctic (SHEBA) International Tundra Experiment (ITEX), the Arctic Climate Systems Study (ACSYS), the Distributed Biological Observatory (DBO), and the Coordinated Energy and water-cycle Observations Project (CEOP) to name a few. EOL played a major role in the data management of these projects, but the CEOP effort in particular involved coordinating common site documentation and data formatting across a global network (28 sites). All these unique projects occurred over 25 years but had similar challenges in the international collection, archival, and access to the rich datasets that are their legacy. The Belmont Forum offers as its main challenge to deliver knowledge needed for action to avoid or adapt to environmental change. One of their major themes is related to the study of these changes in the Arctic. The development of capable e-infrastructure (technologies and groups supporting international collaborative environments networks and data centers) to allow access to large diverse data collections is key to meeting this challenge. The reality of meeting this challenge, however, is something much more difficult. The authors will provide several specific examples of successes and failures when trying to meet the needs of an international community of researchers specifically related to Belmont Forum Work Package Themes regarding standards of

  3. Prospects, achievements, challenges and opportunities for scaling-up malaria chemoprevention in pregnancy in Tanzania: the perspective of national level officers

    DEFF Research Database (Denmark)

    Mubyazi, Godfrey; Bygbjerg, Ib; Magnussen, Pascal

    2008-01-01

    skills of most HWs and their poor motivation. Other problems were unreliable supply of free SP at private clinics, clean and safe water shortage at many government ANC clinics limiting direct observation treatment and occasionally pregnant women asked to pay for ANC services. Finally, supervision......Objectives: To describe the prospects, achievements, challenges and opportunities for implementing intermittent preventive treatment for malaria in pregnancy (IPTp) in Tanzania in light of national antenatal care (ANC) guidelines and ability of service providers to comply with them. Methods: In...... of peripheral health facilities has been inadequate and national guidelines on district budgeting for health services have been inflexible. IPTp coverage is generally low partly because IPTp is not systematically enforced like programmes on immunization, tuberculosis, leprosy and other infectious diseases...

  4. The Challenges of Good Governance, Accountability of Governmental Agencies and Development in Nigeria

    Directory of Open Access Journals (Sweden)

    Daniel E. GBEREVBIE

    2014-12-01

    Full Text Available Some scholars have argued that the enhanced performance of governmental agencies in any nation is a product of good governance, accountability, transparency and trust, which in turn brings about the improvement in the living standard of the people. The implication of this position is that where good governance is absent, accountability of governmental agencies and development in such a society is likely to be affected negatively. With the analysis of secondary data, the paper examines the challenges of good governance, accountability of governmental agencies and development in Nigeria. It observes the manifestation of unethical behaviour amongst public officials as the major challenge hindering development in the country. It therefore recommend among others the need for the government to strengthen the existing anti-corruption agencies to enable them enforce proper ethical standard.

  5. Challenges to the scale-up of the Nigerian National Health Insurance Scheme: Public knowledge and opinions in urban Kano, Nigeria

    OpenAIRE

    U M Lawan; Z Iliyasu; Abba Maryam Daso

    2012-01-01

    Background : This study examined the challenges in the implementation and scale-up of the National Health insurance Scheme (NHIS) in Nigeria. Materials and Methods : We designed this descriptive cross-sectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban Kano regarding the NHIS. Data was analyzed using Epi Info™ 3.2.05 statistical software. Respondents′ knowledge of NHIS was scored and graded using a system adapted from previous studies. Results : ...

  6. Diabetes screening of children in a remote First Nations community on the west coast of Canada: challenges and solutions.

    Science.gov (United States)

    Panagiotopoulos, C; Rozmus, J; Gagnon, R E; Macnab, A J

    2007-01-01

    Type 2 diabetes (T2D) and its precursor, impaired glucose tolerance (IGT), are now reaching epidemic proportions among Aboriginal Canadians. Of particular concern is the appearance and increasing prevalence of T2D and IGT among Aboriginal youth. At the request of three communities in the Tsimshian nation on the northern coast of British Columbia (with which the Department of Pediatrics, University of British Columbia, had a pre-existing partnership) a screening program was undertaken to determine the prevalence of T2D and IGT among the children. The long-term goal was the collaborative development of intervention programs for each community. The challenges of meeting this request included the sociological and ethical issues associated with research in First Nations communities, as well as the pragmatic issues of conducting complex research in remote communities. Three separate visits were undertaken to respect the cultural dynamics and capacity of the community to accommodate a project of this magnitude. The process began with dialogue, listening and presentations to the community. Only then began the planning of logistics and application for funding. Next, the team visited the communities to ensure understanding of exactly what was involved for the community, each child and family, and to be certain that consent was fully informed. For the diabetes screening visit, special arrangements including chartering a Beaver float plane were needed for the transport of the five-member team with all the necessary equipment, including a -20(o)C freezer to safeguard the integrity of blood samples. The 100% consent rate, successful conduct of study, and retention of community support achieved by the process, indicate that population-based clinical research is possible in remote First Nations communities. This is best achieved with appropriate dialogue, care, respect and planning to overcome the sociological, ethical and practical challenges.

  7. Educational Leadership: Key Challenges and Ethical Tensions

    Science.gov (United States)

    Duignan, Patrick

    2007-01-01

    "Educational Leadership" is a major research book on contemporary leadership challenges for educational leaders. In this groundbreaking new work, educational leaders in schools, including teachers, are provided with ways of analysing and resolving common but complex leadership challenges. Ethical tensions inherent in these challenges are…

  8. Articulating the history and major departure points evident in post-apartheid South African national water policy and law

    Science.gov (United States)

    Chikozho, C.; Danga, L.; Saruchera, D.

    2017-08-01

    Governance of the water sector in South Africa has reflected the political changes taking place in society. For instance, due to apartheid policies of segregation, inequality of access to water resources marks South Africa's history in a very profound way and redistribution of rights to water to redress the results of past discrimination became an explicit purpose of the post-apartheid water governance policy and legislative regime. In this paper, we articulate the history and major departure points evident in post-apartheid South African national water policy and law. This includes documenting and reflecting on most of the available information that shows how the new water policy and law were developed. Findings from the study show that the key players active in the water law review process deliberately took into account the political goals and dynamics of power asymmetry within which the law was being articulated. Therefore, the water law as it stands today and in the past must be understood within the context of the socio-economic and political landscape that has prevailed in South Africa at different historical junctures. We contend that a detailed examination and articulation of the history and major departure points evident in post-apartheid South African national water policy and law enables practitioners and scholars to better understand the main motivations behind the water sector reforms and the then prevailing thinking behind the policy and legislation eventually promulgated. The present water law must be understood in the context of these reforms and the objectives they sought to achieve.

  9. Implementing non-invasive prenatal testing for aneuploidy in a national healthcare system: global challenges and national solutions.

    Science.gov (United States)

    van Schendel, Rachèl V; van El, Carla G; Pajkrt, Eva; Henneman, Lidewij; Cornel, Martina C

    2017-09-19

    Since the introduction of non-invasive prenatal testing (NIPT) in 2011, mainly by commercial companies, a growing demand for NIPT from the public and healthcare professionals has been putting pressure on the healthcare systems of various countries. This study identifies the challenges of establishing a responsible implementation of NIPT for aneuploidy in prenatal healthcare, by looking at the Netherlands. A mixed methods approach involving 13 stakeholder interviews, document analysis and (participatory) observations of the Dutch NIPT Consortium meetings were used. The Diffusion of Innovation Theory and a Network of Actors model were used to interpret the findings. Implementation of NIPT was facilitated by several factors. The set-up of a national NIPT Consortium enabled discussion and collaboration between stakeholders. Moreover, it led to the plan to offer NIPT through a nationwide research setting (TRIDENT studies), which created a learning phase for careful implementation. The Dutch legal context was perceived as a delaying factor, but eventually gave room for the parties involved to organise themselves and their practices. This study shows that implementing advanced technologies with profound effects on prenatal care benefit from a learning phase that allows time to carefully evaluate the technical performance and women's experiences and to enable public debate. Such a coordinated learning phase, involving all stakeholders, will stimulate the process of responsible and sustainable implementation.

  10. The Process of Fixing the British National Minimum Wage, 1997-2007

    OpenAIRE

    Brown, W.

    2009-01-01

    The British National Minimum Wage was introduced in 1999 under the guidance of a Low Pay Commission constructed on a basis of ‘social partnership’. The paper analyses its conduct over its first ten years from diary data. Key challenges were for it to be independent of government, to have its advice accepted by government, and to maintain internal unanimity. The changing internal dynamics of the Commission, and its major negotiations over the level of the Minimum Wage, are described and analys...

  11. Potential Teaching Model for Applying Novel Approaches of Renewed Estonian National Curriculum into Visual Art Classes in Primary School

    Science.gov (United States)

    Vahter, Edna

    2015-01-01

    In 2010, the renewed national curriculum was legislated in Estonia. Major changes include a new list of cross-curricular topics, increased importance of integration and specification of the components of the art learning process. In this situation, the question arises--how to fully implement the challenges of the renewed curriculum in primary…

  12. Wildlife conservation challenges in Okomu National Park, Nigeria ...

    African Journals Online (AJOL)

    This study looked at the challenges of conserving the Park's wildlife and other resources. The Park's record of arrests and prosecution from 1999 to 2011 was used as secondary data while a four point Likert-scale questionnaire was used to obtain primary data. Descriptive statistics were used to analyse the arrests data and ...

  13. National Earthquake Hazards Program at a Crossroads

    Science.gov (United States)

    Showstack, Randy

    The U.S.National Earthquake Hazards Reduction Program, which turns 25 years old on 1 October 2003, is passing through two major transitions, which experts said either could weaken or strengthen the program. On 1 March, a federal government reorganization placed NEHRP's lead agency,the Federal Emergency Management Agency (FEMA),within the new Department of Homeland Security (DHS). A number of earthquake scientists and engineers expressed concern that NEHRP, which already faces budgetary and organizational challenges, and lacks visibility,could end up being marginalized in the bureaucratic shuffle. Some experts, though,as well as agency officials, said they hope DHS will recognize synergies between dealing with earthquakes and terrorist attacks.

  14. How is it going? Peformance assessment in major projects

    DEFF Research Database (Denmark)

    Maylor, Harvey; Johnson, Mark; Turner, Neil

    2017-01-01

    an enhanced service performance model. This was then tested using a survey and a structural equation model derived. Development of this yielded new classifications but most importantly, provided a more meaningful method for measuring the performance of operational transformation projects. Specifically......Determining the performance of a major project is a challenge for both practitioners and scholars. In the context of operational change projects the challenge is exacerbated by the service-intensive nature of the transformation, temporal disconnects between contracting and delivery and lack...... management in major projects from an OM perspective....

  15. Telecommunications Reform in Nigeria: The Marketing Challenges ...

    African Journals Online (AJOL)

    Telecommunications Reform in Nigeria: The Marketing Challenges. ... Journal of Research in National Development ... This paper discusses the telecommunications reforms process, the role of the regulatory body (Nigeria Commission, the current state of the telecommunication sector and the marketing challenges in ...

  16. Building Science and Technology Solutions for National Problems

    International Nuclear Information System (INIS)

    Bishop, Alan R.

    2012-01-01

    The nation's investment in Los Alamos has fostered scientific capabilities for national security missions. As the premier national security science laboratory, Los Alamos tackles: (1) Multidisciplinary science, technology, and engineering challenges; (2) Problems demanding unique experimental and computational facilities; and (3) Highly complex national security issues requiring fundamental breakthroughs. Our mission as a DOE national security science laboratory is to develop and apply science, technology, and engineering solutions that: (1) ensure the safety, security, and reliability of the US nuclear deterrent; (2) protect against the nuclear threat; and (3) solve national security challenges.

  17. 34 CFR 691.17 - Determination of eligible majors.

    Science.gov (United States)

    2010-07-01

    ... ACCESS TO RETAIN TALENT GRANT (NATIONAL SMART GRANT) PROGRAMS Application Procedures § 691.17... list of eligible majors identified by CIP code. (d) Designation of an additional eligible major. (1... include— (i) The CIP code and program title of the additional major; (ii) The reason or reasons the...

  18. Starting an Actuarial Science Major at a Liberal Arts College

    Science.gov (United States)

    Mills, Mark A.

    2014-01-01

    The article provides details of the process of starting an actuarial science major at a small, liberal arts college. Some critique of the major is included, as well as some challenges that may be faced by others wanting to start such a major at their institution.

  19. Tracks of Major Hurricanes of the Western Hemisphere

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This 36"x24" National Hurricane Center poster depicts the complete tracks of all major hurricanes in the north Atlantic and eastern north Pacific basins since as...

  20. Challenge for the national security of the Republic of Serbia in the concept of common European values

    Directory of Open Access Journals (Sweden)

    Stevanović Miroslav

    2016-01-01

    Full Text Available Peaceful future based on common values, as a motive for the integration of the peoples of Europe, implies discontinuity with value-concepts that were the cause of conflicts. When the European Union and its member states ignore the promotion of the Ustasha's ideological concept which caused great evil to Serbia, as a neighboring country and a candidate for EU membership, the doubt arises whether the current value concept contains elements of challenge for the candidate's national security. In this article, we assume that the historical legacy of Nazism has influenced the shaping of European values. The analysis starts from the Nazi views embodied in the root of the interest for unity of Europe, and the factors of influence of the Nazi value order after World War II. The idea of unified Europe can be attributed to Nazis, who had territorial ambitions in terms of Europe as the living space of the Germanic race, under the dominance of Germany. During the war, there was a significant level of collaboration in European states, while Nazis basically aimed to annihilate Jews, Slavs and Gypsies. After the war, anti-Nazism was marginalized, due to the Cold War against communism and the Soviet Union. The identified trends are analyzed in the context of shaping the value system at the time of neo-liberalism and globalization. After the undermining of the international financial system in 1971, and the rise of neo-liberalism, globalization has generated a trend of centralization and financial domination. This is accompanied by neo-conservative doctrine and politics, which promote realism in international relations, and 'desovereignization' of nation states. The example of the coup d'état and civil conflict in Ukraine exposed tolerance for ultra-nationalistic and neo-Nazi ideas. We find that elitism and imperialism remain as value similarities between the Nazi and the current neo-liberal European value discourse, and that there is an essentially identical

  1. The boomer challenge.

    Science.gov (United States)

    Barr, Paul

    2014-01-01

    Hospitals and the rest of health care will have to make some major adjustments to meet the needs of the aging baby boom generation. The first article in our year-long series inventories the many challenges that lie ahead.

  2. The influence of a major sporting event upon emergency department attendances; A retrospective cross-national European study.

    Science.gov (United States)

    Hughes, Helen E; Colón-González, Felipe J; Fouillet, Anne; Elliot, Alex J; Caserio-Schonemann, Céline; Hughes, Thomas C; Gallagher, Naomh; Morbey, Roger A; Smith, Gillian E; Thomas, Daniel Rh; Lake, Iain R

    2018-01-01

    Major sporting events may influence attendance levels at hospital emergency departments (ED). Previous research has focussed on the impact of single games, or wins/losses for specific teams/countries, limiting wider generalisations. Here we explore the impact of the Euro 2016 football championships on ED attendances across four participating nations (England, France, Northern Ireland, Wales), using a single methodology. Match days were found to have no significant impact upon daily ED attendances levels. Focussing upon hourly attendances, ED attendances across all countries in the four hour pre-match period were statistically significantly lower than would be expected (OR 0.97, 95% CI 0.94-0.99) and further reduced during matches (OR 0.94, 95% CI 0.91-0.97). In the 4 hour post-match period there was no significant increase in attendances (OR 1.01, 95% CI 0.99-1.04). However, these impacts were highly variable between individual matches: for example in the 4 hour period following the final, involving France, the number of ED attendances in France increased significantly (OR 1.27, 95% CI 1.13-1.42). Overall our results indicate relatively small impacts of major sporting events upon ED attendances. The heterogeneity observed makes it difficult for health providers to predict how major sporting events may affect ED attendances but supports the future development of compatible systems in different countries to support cross-border public health surveillance.

  3. The influence of a major sporting event upon emergency department attendances; A retrospective cross-national European study

    Science.gov (United States)

    Colón-González, Felipe J.; Fouillet, Anne; Elliot, Alex J.; Caserio-Schonemann, Céline; Hughes, Thomas C.; Gallagher, Naomh; Morbey, Roger A.; Smith, Gillian E.; Thomas, Daniel Rh.; Lake, Iain R.

    2018-01-01

    Major sporting events may influence attendance levels at hospital emergency departments (ED). Previous research has focussed on the impact of single games, or wins/losses for specific teams/countries, limiting wider generalisations. Here we explore the impact of the Euro 2016 football championships on ED attendances across four participating nations (England, France, Northern Ireland, Wales), using a single methodology. Match days were found to have no significant impact upon daily ED attendances levels. Focussing upon hourly attendances, ED attendances across all countries in the four hour pre-match period were statistically significantly lower than would be expected (OR 0.97, 95% CI 0.94–0.99) and further reduced during matches (OR 0.94, 95% CI 0.91–0.97). In the 4 hour post-match period there was no significant increase in attendances (OR 1.01, 95% CI 0.99–1.04). However, these impacts were highly variable between individual matches: for example in the 4 hour period following the final, involving France, the number of ED attendances in France increased significantly (OR 1.27, 95% CI 1.13–1.42). Overall our results indicate relatively small impacts of major sporting events upon ED attendances. The heterogeneity observed makes it difficult for health providers to predict how major sporting events may affect ED attendances but supports the future development of compatible systems in different countries to support cross-border public health surveillance. PMID:29898000

  4. Challenge of improving postoperative pain management: case studies of three acute pain services in the UK National Health Service.

    Science.gov (United States)

    Powell, A E; Davies, H T O; Bannister, J; Macrae, W A

    2009-06-01

    Previous national survey research has shown significant deficits in routine postoperative pain management in the UK. This study used an organizational change perspective to explore in detail the organizational challenges faced by three acute pain services in improving postoperative pain management. Case studies were conducted comprising documentary review and semi-structured interviews (71) with anaesthetists, surgeons, nurses, other health professionals, and managers working in and around three broadly typical acute pain services. Although the precise details differed to some degree, the three acute pain services all faced the same broad range of inter-related challenges identified in the organizational change literature (i.e. structural, political, cultural, educational, emotional, and physical/technological challenges). The services were largely isolated from wider organizational objectives and activities and struggled to engage other health professionals in improving postoperative pain management against a background of limited resources, turbulent organizational change, and inter- and intra-professional politics. Despite considerable efforts they struggled to address these challenges effectively. The literature on organizational change and quality improvement in health care suggests that it is only by addressing the multiple challenges in a comprehensive way across all levels of the organization and health-care system that sustained improvements in patient care can be secured. This helps to explain why the hard work and commitment of acute pain services over the years have not always resulted in significant improvements in routine postoperative pain management for all surgical patients. Using this literature and adopting a whole-organization quality improvement approach tailored to local circumstances may produce a step-change in the quality of routine postoperative pain management.

  5. Dress codes and appearance policies: challenges under federal legislation, part 3: Title VII, the Americans with Disabilities Act, and the National Labor Relations Act.

    Science.gov (United States)

    Mitchell, Michael S; Koen, Clifford M; Darden, Stephen M

    2014-01-01

    As more and more individuals express themselves with tattoos and body piercings and push the envelope on what is deemed appropriate in the workplace, employers have an increased need for creation and enforcement of reasonable dress codes and appearance policies. As with any employment policy or practice, an appearance policy must be implemented and enforced without regard to an individual's race, color, sex, national origin, religion, disability, age, or any other protected status. A policy governing dress and appearance based on the business needs of an employer that is applied fairly and consistently and does not have a disproportionate effect on any protected class will generally be upheld if challenged in court. By examining some of the more common legal challenges to dress codes and how courts have resolved the disputes, health care managers can avoid many potential problems. This article, the third part of a 3-part examination of dress codes and appearance policies, focuses on the issues of race and national origin under the Civil Rights Act, disability under the Americans With Disabilities Act, and employees' rights to engage in concerted activities under the National Labor Relations Act. Pertinent court cases that provide guidance for employers are addressed.

  6. The Challenges of Malaysian Dry Ports Development

    Directory of Open Access Journals (Sweden)

    Jagan Jeevan

    2015-03-01

    Full Text Available This paper examines the functions and challenges of dry ports development in Malaysia through 11 face-to-face interviews with dry port stakeholders. The findings reveal that Malaysian dry ports are developed to accelerate national and international business, to activate intermodalism in the nation, to promote regional economic development and to enhance seaport competitiveness. Malaysian dry ports perform the function of transport and logistics, information processing, seaports and value-added services. Challenges facing Malaysian dry ports include insufficient railway tracks, unorganized container planning on the rail deck, highly dependent on single mode of transportation, poor recognition from the seaport community, and competition from localized seaports. This paper further indicates strategies for coping with these challenges and identifies future opportunities for Malaysian dry ports development.

  7. REACHING SWAZI NATION LAND FARMERS: CHALLENGES TO ...

    African Journals Online (AJOL)

    ... community meetings have not been successfully utilised for extension; women who constitute the majority as cultivators of the land are not directly recognised as extension clientele; and rural people tend to portray mutual distrust in interpersonal relations. The agricultural extension service is generally weak in addressing ...

  8. Success of Breast Cancer Startup Challenge Inspires Second Challenge | Poster

    Science.gov (United States)

    By Thomas Stackhouse, Joseph Conrad, and Michele Newton, Contributing Writers, and Rosemarie Truman, Guest Writer Sixty-one teams have been accepted into, and are now competing in, the Neuro Startup Challenge, a new collaboration established by the National Institutes of Health (NIH) with The Center for Advancing Innovation (CAI) and Heritage Provider Network, Inc.

  9. A National Survey of Music Education Majors' Confidence in Teaching Improvisation

    Science.gov (United States)

    Bernhard, H. Christian, II.; Stringham, David A.

    2016-01-01

    The purpose of the study was to investigate undergraduate music education majors' confidence in teaching improvisation, according to the NAfME (1994) K-12 Achievement Standards. Specific research questions were: 1) How confident are music education majors in implementing the 11 improvisation achievement standards for grades K-12? 2) How confident…

  10. Personality, academic majors and performance

    DEFF Research Database (Denmark)

    Vedel, Anna; Thomsen, Dorthe Kirkegaard; Larsen, Lars

    2015-01-01

    Personality–performance research typically uses samples of psychology students without questioning their representativeness. The present article reports two studies challenging this practice. Study 1: group differences in the Big Five personality traits were explored between students (N = 1067......) in different academic majors (medicine, psychology, law, economics, political science, science, and arts/humanities), who were tested immediately after university enrolment. Study 2: six and a half years later the students’ academic records were obtained, and predictive validity of the Big Five personality...... traits and their subordinate facets was examined in the various academic majors in relation to Grade Point Average (GPA). Significant group differences in all Big Five personality traits were found between students in different academic majors. Also, variability in predictive validity of the Big Five...

  11. SOCIO-ECONOMIC ASPECTS OF ITALY: CHALLENGES AND OPPORTUNITIES FOR COOPERATION WITH THE INTERNATIONAL COMMUNITY

    Directory of Open Access Journals (Sweden)

    Yu. Agapov

    2016-01-01

    Full Text Available The economic crisis in Italy after 2008 fully revealed the complexity of the socio-economic model of the country, which in our time is formed not only at national level but also at European and global levels. All these factors should also be taken into account in the analysis of Russian-Italian relations. Italy has traditionally been considered one of the main partners / allies of Russia in Europe / the West, which emphasizes the active economic ties.Socio-economic diffi culties in Italy, creating both challenges and opportunities for the world, Europe and Russia. One of the major challenges for the global economy is the impact of the crisis in Italy for the EU, as one of the world's economic centers.The challenge for the EU crisis in Italy can be the stability of the EU, the challenge for Russia could be the eff ect of reducing the role of the traditional economic and political partner of the EU. Regarding the new features are: the global level – the transformation of one of the major economies of the West and building relationships with updated economic leader of the Mediterranean on a new basis, the regional level - the further development of one of the other German centre’s of the EU, which could serve as a new "stimulus" for the further integration of the Union , national - improve the socio-economic standards of living of citizens in Italy, as well as creating additional opportunities for the development of mutually benefi cial cooperation with other countries, particularly with Russia. The article discusses the causes of the Italian crisis and the challenges and opportunities that are opened at the same time for the world, the EU and Russia. Subject articles relevant due to the perception of the impact of the crisis in Italy for the world economy, the economy of the EU and Russia.The goal / task. The main purpose of the presentation material in this article is to analyze the causes of the crisis in Italy using a three-level model of

  12. Responding to the Challenge of Providing Stronger Research Base for Teacher Education: Research Discourses in the Norwegian National Research School for Teacher Education

    Science.gov (United States)

    Østern, Anna-Lena

    2016-01-01

    Background and purpose: The purpose of this article is to shed light on how the research projects of 140 PhD candidates in the National Research School for Teacher Education in Norway (NAFOL) respond to the challenges faced by Norwegian teacher education regarding the demand for higher competence and a stronger research base. The concept of NAFOL…

  13. Investigating the Molecular Basis of Major Depressive Disorder Etiology

    NARCIS (Netherlands)

    Jabbi, Mbemba; Korf, Jaalp; Ormel, Johan; Kema, Ido P.; den Boer, Johan A.; Kvetnansky, R; Aguilera, G; Goldstein, D; Jezova, D; Krizanova, O; Sabban, EL; Pacak, K

    2008-01-01

    Genes play a major role in behavioral adaptation to challenging environmental stimuli, but the complexity of their contribution remains unclear. There is growing evidence linking disease phenotypes with genes on the one hand, and the genesis of stress-related disorders like major depression, as a

  14. Sustainable Materials Management (SMM) Federal Green Challenge (FGC) Data

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Federal Green Challenge (FGC) is a national effort under EPA's Sustainable Materials Management (SMM) Program, challenging EPA and other federal agencies...

  15. Gaucher disease: Progress and ongoing challenges.

    Science.gov (United States)

    Mistry, Pramod K; Lopez, Grisel; Schiffmann, Raphael; Barton, Norman W; Weinreb, Neal J; Sidransky, Ellen

    Over the past decades, tremendous progress has been made in the field of Gaucher disease, the inherited deficiency of the lysosomal enzyme glucocerebrosidase. Many of the colossal achievements took place during the course of the sixty-year tenure of Dr. Roscoe Brady at the National Institutes of Health. These include the recognition of the enzymatic defect involved, the isolation and characterization of the protein, the localization and characterization of the gene and its nearby pseudogene, as well as the identification of the first mutant alleles in patients. The first treatment for Gaucher disease, enzyme replacement therapy, was conceived of, developed and tested at the Clinical Center of the National Institutes of Health. Advances including recombinant production of the enzyme, the development of mouse models, pioneering gene therapy experiments, high throughput screens of small molecules and the generation of induced pluripotent stem cell models have all helped to catapult research in Gaucher disease into the twenty-first century. The appreciation that mutations in the glucocerebrosidase gene are an important risk factor for parkinsonism further expands the impact of this work. However, major challenges still remain, some of which are described here, that will provide opportunities, excitement and discovery for the next generations of Gaucher investigators. Published by Elsevier Inc.

  16. The Gap Frame - Enriching the SDG Compass by translating the SDGs into relevant national Grand Challenges for strategic business opportunities

    OpenAIRE

    Muff, Katrin; Kapalka, Agnieszka; Dyllick, Thomas

    2017-01-01

    The global agenda of Grand Challenges until 2030 is set: the Sustainable Development Goals (SDGs) enjoy broad global governmental acceptance and increasing business awareness. This paper takes a concrete look at how we can reach a state-of-the-world by 2030 that is ‘safe for all of us’. Getting there requires relevant national measures that are easily accessible for business, which is considered a key transformative force with its innovation power. The global nature and focus of the SDGs make...

  17. The international gas markets. Of major changes and challenges for Europe

    International Nuclear Information System (INIS)

    Westphal, Kirsten

    2014-01-01

    Already in the 2010 edition of its World Energy Outlook the World Energy Agency noted an unprecedented degree of uncertainty surrounding the international energy markets. The rate of change in these markets is indeed stupendous, posing formidable tasks to business companies as well as the political leadership. The European gas markets face new challenges in protecting their security of supply which stem from the combined effects of the shift of LNG trade flows into the Pacific region, decreasing rates of home production and the ongoing transformation process within the EU.

  18. New challenges to rethink the training of ecuadorian teachers

    Directory of Open Access Journals (Sweden)

    María Sol Villagómez

    2012-12-01

    Full Text Available Training ecuadorian teachers has traditionally been linked to public policy and national curricula that have defined the task of teaching, classroom work, and what basic teacher training institutions should prioritize on when it comes to training teachers. Recent years have seen major changes in the educational sector, as well as a revaluation of the teaching trade. New training challenges arise, not only from the teacher's perspective as executor of the curricula, but as a key player in the educational process. We need to rethink the training of teachers to and from a critical reflection and research point-of-view, in order to reflect on the curricula, their own experience, and their relevance in relation to the framework in wich they develop.

  19. Pediatric emergency department census during major sporting events.

    Science.gov (United States)

    Kim, Tommy Y; Barcega, Besh B; Denmark, T Kent

    2012-11-01

    Our study attempted to evaluate the effects of major sporting events on the census of a pediatric emergency department (ED) in the United States specifically related to the National Football League Super Bowl, National Basketball Association (NBA) Finals, and Major League Baseball World Series. We performed a retrospective data analysis of our pediatric ED census on the number of visits during major sporting events over a 5-year period. Data during the same period 1 week after the major sporting event were collected for comparison as the control. We evaluated the medians of 2-hour increments around the event start time. Subgroup analysis was performed for games involving the local sporting teams. Our results showed no significant difference in ED census during the sporting events, except in the post 6 to 8 hours of the NBA finals. Subgroup analysis of the Los Angeles Lakers showed the same significant findings in the post 6 to 8 hours of the NBA finals. No major difference in pediatric ED census is observed during the most major sporting events in the United States.

  20. Test for English Majors (TEM) in China

    Science.gov (United States)

    Jin, Yan; Fan, Jinsong

    2011-01-01

    The purpose of the Test for English Majors (TEM) is to measure the English proficiency of Chinese university undergraduates majoring in English Language and Literature and to examine whether these students meet the required levels of English language abilities as specified in the National College English Teaching Syllabus for English Majors…

  1. Female gender and acne disease are jointly and independently associated with the risk of major depression and suicide: a national population-based study.

    Science.gov (United States)

    Yang, Yi-Chien; Tu, Hung-Pin; Hong, Chien-Hui; Chang, Wei-Chao; Fu, Hung-Chun; Ho, Ji-Chen; Chang, Wei-Pin; Chuang, Hung-Yi; Lee, Chih-Hung

    2014-01-01

    Acne is a common disease in adolescence with female preponderance. It could cause poor self-esteem and social phobia. Previous studies based on questionnaires from several thousands of adolescents showed that acne is associated with major depression and suicide. However, the gender- and age-specific risk of depression and suicide in patients with acne remain largely unknown. Using a database from the National Health Insurance, which included 98% of the population of Taiwan in 2006, we identified patients of acne, major depression, and suicide based on ICD-9-CM codes. Totally 47111 patients with acne were identified (16568 males and 30543 females) from 1 million subjects. The youths of 7-12 years had the highest prevalence of acne (14.39%). Major depression was more common in those with acne (0.77%) than controls (0.56% , P suicide was noticed in women with acne. In conclusion, acne and gender, independently and jointly, are associated with major depression and suicide. Special medical support should be warranted in females with acne for the risk of major depression and suicide.

  2. The challenge of global warming

    International Nuclear Information System (INIS)

    Bryner, G.C.

    1992-01-01

    The chapter outlines the science of global warming, the likely consequences of global warming and some of the major challenges in dealing with global climate change. Some of the major international organisations concerned with environmental issues are listed. International agreements might be used to limit emissions of greenhouse gases. 32 refs., 2 tabs

  3. Symposium Introduction: Papers on 'Modeling National Health Expenditures'.

    Science.gov (United States)

    Getzen, Thomas E; Okunade, Albert A

    2017-07-01

    Significant contributions have been made since the World Health Organization published Brian Abel-Smith's pioneering comparative study of national health expenditures more than 50 years ago. There have been major advances in theories, model specifications, methodological approaches, and data structures. This introductory essay provides a historical context for this line of work, highlights four newly published studies that move health economics research forward, and indicates several important areas of challenging but potentially fruitful research to strengthen future contributions to the literature and make empirical findings more useful for evaluating health policy decisions. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  4. The medical leadership challenge in healthcare is an identity challenge.

    Science.gov (United States)

    Andersson, Thomas

    2015-01-01

    The purpose of this article is to describe and analyse the identity challenges that physicians with medical leadership positions face. Four qualitative case studies were performed to address the fact that identity is processual, relational and situational. Physicians with managerial roles were interviewed, as well as their peers, supervisors and subordinates. Furthermore, observations were made to understand how different identities are displayed in action. This study illustrates that medical leadership implies identity struggles when physicians have manager positions, because of the different characteristics of the social identities of managers and physicians. Major differences are related between physicians as autonomous individuals in a system and managers as subordinates to the organizational system. There are psychological mechanisms that evoke the physician identity more often than the managerial identity among physicians who are managers, which explains why physicians who are managers tend to remain foremost physicians. The implications of the findings, that there are major identity challenges by being both a physician and manager, suggest that managerial physicians might not be the best prerequisite for medical leadership, but instead, cooperative relationships between physicians and non-physician managers might be a less difficult way to support medical leadership. Acknowledging and addressing identity challenges can be important both in creating structures in organizations and designing the training for managers in healthcare (both physicians and non-physicians) to support medical leadership. Medical leadership is most often related to organizational structure and/or leadership skills, but this paper discusses identity requirements and challenges related to medical leadership.

  5. Safe and Secure Transportation of Radioactive Materials in Pakistan and Future Challenges

    International Nuclear Information System (INIS)

    Muneer, Muhammad; Ejaz, Asad

    2016-01-01

    PNRA is the sole organization in the country responsible to regulate all matters pertaining to ionizing radiations. For the safety of transport of radioactive material in the country, PNRA has adopted IAEA TS-R-1 as a national regulation. To cover the security aspects and emergency situations, if any, during the transportation of radioactive material, PNRA has issued the regulatory guide on ‘Transportation of Radioactive Material by Road in Pakistan’. In Pakistan, low to medium activity radioactive sources are transported from one place to another by road for the purpose of industrial radiography, well logging, medical application, etc. According to national policy, sealed radioactive sources of half life greater than 1 year and with initial activity of 100 GBq or more imported in the country are required to be returned to country of origin (exported) after its use. Although the activities related to transport of radioactive material remained safe and secure and no major accident/incident has been reported so far, however, the improvement/enhancement in the regulatory infrastructure is a continuous process. In future, more challenges are expected to be faced in the safety of transport packages. This paper will describe the steps taken by PNRA for the safety and security of transport of radioactive material in the country and future challenges. (author)

  6. Capacity building in emerging space nations: Experiences, challenges and benefits

    Science.gov (United States)

    Jason, Susan; da Silva Curiel, Alex; Liddle, Doug; Chizea, Francis; Leloglu, Ugur Murat; Helvaci, Mustafa; Bekhti, Mohammed; Benachir, Djouad; Boland, Lee; Gomes, Luis; Sweeting, Martin

    2010-09-01

    This paper focuses on ways in which space is being used to build capacity in science and technology in order to: Offer increasing support for national and global solutions to current and emerging problems including: how to improve food security; resource management; understanding the impacts of climate change and how to deal with them; improving disaster mitigation, management and response. Support sustainable economic development. We present some of the experiences, lessons learned and benefits gained in capacity building projects undertaken by Surrey Satellite Technology Ltd. and our partners from developing and mature space nations. We focus on the Turkish, Algerian and Nigerian know-how and technology transfer programmes which form part of the first Disaster Monitoring Constellation (DMC) in orbit. From the lessons learned on Surrey's know-how and technology transfer partnership programmes, it is clear that space technology needs to be implemented responsibly as part of a long-term capacity building plan to be a sustainable one. It needs to be supported with appropriate policy and legal frameworks, institutional development, including community participation, human resources development and strengthening of managerial systems. In taking this on board, DMC has resulted in a strong international partnership combining national objectives, humanitarian aid and commerce. The benefits include: Ownership of space-based and supporting ground assets with low capital expenditure that is in line with national budgets of developing nations. Ownership of data and control over data acquisition. More for the money via collaborative consortium. Space related capacity building in organisations and nations with the goal of sustainable development. Opportunities for international collaboration, including disaster management and relief.

  7. The path to the future: The role of science and technology at Argonne National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Reck, R.A.

    1996-04-30

    Today some scientists are concerned that present budget considerations in Washington will make it impossible for the US to maintain its preeminence in important areas of science and technology. In the private sector there has been a demise of substantive R & D efforts through most of the major industries. For DOE a lack of future support for science and technology would be an important issue because this could impact DOE`s abilities to solve problems in its major areas of concern, national security, energy, environment. In fact some scientists maintain that were the present trend to continue unabated it could lead to a national security issue. Preeminence in science and technology plays a critical role in our nation`s position as the leader of world democracy. In contrast with this point of view of gloom and doom, however, in this presentation I hope to bring to you what I see as an exciting message of good news. Today I will list the important opportunities and challenges for the future that I note for ANL, the leadership role that I believe ANL can play and the qualities that will help our laboratory to maintain its status as an outstanding DOE National Laboratory.

  8. The Superpowers: Nuclear Weapons and National Security. Teacher's Guide. National Issues Forums in the Classroom.

    Science.gov (United States)

    Levy, Tedd

    This teacher's guide is designed to accompany the National Issues Forums'"The Superpowers: Nuclear Weapons and National Security." Activities and ideas are provided to challenge students to debate and discuss the United States-Soviet related issues of nuclear weapons and national security. The guide is divided into sections that…

  9. Advanced placement math and science courses: Influential factors and predictors for success in college STEM majors

    Science.gov (United States)

    Hoepner, Cynthia Colon

    President Obama has recently raised awareness on the need for our nation to grow a larger pool of students with knowledge in science mathematics, engineering, and technology (STEM). Currently, while the number of women pursuing college degrees continues to rise, there remains an under-representation of women in STEM majors across the country. Although research studies offer several contributing factors that point to a higher attrition rate of women in STEM than their male counterparts, no study has investigated the role that high school advanced placement (AP) math and science courses play in preparing students for the challenges of college STEM courses. The purpose of this study was to discover which AP math and science courses and/or influential factors could encourage more students, particularly females, to consider pursuing STEM fields in college. Further, this study examined which, if any, AP math or science courses positively contribute to a student's overall preparation for college STEM courses. This retrospective study combined quantitative and qualitative research methods. The survey sample consisted of 881 UCLA female and male students pursuing STEM majors. Qualitative data was gathered from four single-gender student focus groups, two female groups (15 females) and two male groups (16 males). This study examined which AP math and science courses students took in high school, who or what influenced them to take those courses, and which particular courses influenced student's choice of STEM major and/or best prepared her/him for the challenges of STEM courses. Findings reveal that while AP math and science course-taking patterns are similar of female and male STEM students, a significant gender-gap remains in five of the eleven AP courses. Students report four main influences on their choice of AP courses; self, desire for math/science major, higher grade point average or class rank, and college admissions. Further, three AP math and science courses were

  10. Electronic health records approaches and challenges: a comparison between Malaysia and four East Asian countries.

    Science.gov (United States)

    Abd Ghani, Mohd Khanapi; Bali, Rajeev K; Naguib, Raouf N G; Marshall, Ian M

    2008-01-01

    An integrated Lifetime Health Record (LHR) is fundamental for achieving seamless and continuous access to patient medical information and for the continuum of care. However, the aim has not yet been fully realised. The efforts are actively progressing around the globe. Every stage of the development of the LHR initiatives had presented peculiar challenges. The best lessons in life are those of someone else's experiences. This paper presents an overview of the development approaches undertaken by four East Asian countries in implementing a national Electronic Health Record (EHR) in the public health system. The major challenges elicited from the review including integration efforts, process reengineering, funding, people, and law and regulation will be presented, compared, discussed and used as lessons learned for the further development of the Malaysian integrated LHR.

  11. Addressing complex challenges using a co-innovation approach

    NARCIS (Netherlands)

    Vereijssen, Jessica; Srinivasan, M.S.; Dirks, Sarah; Fielke, Simon; Jongmans, C.T.; Agnew, Natasha; Klerkx, Laurens; Pinxterhuis, Ina; Moore, John; Edwards, Paul; Brazendale, Rob; Botha, Neels; Turner, James A.

    2017-01-01

    Co-innovation can be effective for complex challenges – involving interactions amongst multiple stakeholders, viewpoints, perceptions, practices and interests across programmes, sectors and national systems. Approaches to challenges in the primary sector have tended to be linear, where tools and

  12. Transforming First Nations Health Care in British Columbia: An Organizational Challenge

    Directory of Open Access Journals (Sweden)

    Stephen Wilmot

    2018-02-01

    Full Text Available Following a series of agreements on First Nations health care in British Columbia beginning in 2005, several organizations were created to contribute to the development of a system of health care for First Nations in the province, with the aim of transforming First Nations health care to better meet users’ needs. This article considers the role of these organizations and their relationships with the provincial government, the federal government, and the First Nations people of British Columbia. It explores possible levels of transformation, as well as the possibilities and problems for these organizations in undertaking the transformation process, particularly with regard to their position on the boundary between the worlds of First Nations and Canada. It also considers sources of, and threats to, their legitimacy in this undertaking. Finally, wider points of relevance beyond British Columbia are identified.

  13. National Environmental Policy Act

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The National Environmental Policy Act (NEPA) was the first major environmental law in the United States and established national environmental policies for the...

  14. Transistor challenges - A DRAM perspective

    International Nuclear Information System (INIS)

    Faul, Juergen W.; Henke, Dietmar

    2005-01-01

    Key challenges of the transistor scaling from a DRAM perspective will be reviewed. Both, array transistors as well as DRAM support devices face challenges that differ essentially from high performance logic device scaling. As a major difference, retention time and standby current requirements characterize special boundary conditions in the DRAM device design. Array device scaling is determined by a chip size driven aggressive node scaling. To continue scaling, major innovations need to be introduced into state-of-the-art planar array transistors. Alternatively, non planar device concepts will have to be evaluated. Support device design for DRAMs is driven by today's market demand for increased chip performances at little to no extra cost. Major innovations are required to continue that path. Besides this strive for performance increase, special limitations for 'on pitch' circuits at the array edge will come up due to the aggressive cell size scaling

  15. The Marihuana Dilemma: Challenge to Commanders.

    Science.gov (United States)

    The marihuana dilemma poses a major challenge to commanders in the US Army today. The problem was analyzed as to the characteristics of the drug...available to commanders to meet the challenge. The essay concludes that marihuana should not be legalized; drug users or former drug users should not be

  16. Challenges Encountered During the Veterinary Disaster Response: An Example from Chile

    Directory of Open Access Journals (Sweden)

    Elena Garde

    2013-11-01

    Full Text Available Large-scale disasters have immeasurable effects on human and animal communities. Evaluating and reporting on the response successes and difficulties encountered serves to improve existing preparedness documents and provide support to those in the process of developing plans. Although the majority of disasters occur in low and middle income nations, less than 1% of the disaster literature originates from these countries. This report describes a response to a disease outbreak in domestic dogs in Dichato, Chile following the 2010 earthquake/tsunami. With no national plan coordinating the companion animal response, there was a chaotic approach among animal welfare organizations towards rescue, diagnosis, treatment and record-keeping. Similar to the medical response following the 1985 earthquake near Santiago, we experienced problems within our own teams in maintenance of data integrity and protocol compliance. Loss of infrastructure added complications with transportation, communications and acquisition of supplies. Similar challenges likely occur in most disasters, but can be reduced through pro-active planning at national and local levels. There is sufficient information to support the human and animal welfare benefits of including companion animals in national planning, and lessons learned through this and other experiences can assist planners in the development of comprehensive and locally relevant contingency plans.

  17. The association between social capital measures and self-reported health among Muslim majority nations.

    Science.gov (United States)

    Kim, Harris Hyun-soo

    2014-10-01

    Much evidence suggests that social capital (e.g. networks, trust, organizational memberships) has a significant effect on self-reported health. Previous research, however, has focused primarily on Western countries. The current research seeks to remedy this problem by investigating the association between multiple social capital indicators and subjective health in a novel empirical setting. The data come from the Comparative Values Survey of Islamic Countries (1999-2006) which consists of probabilistic samples from Muslim majority nations. Three-way multilevel analysis is used to examine the social determinants of health. Statistical results from hierarchical linear modeling shows that frequent contact with strong and intermediate ties (i.e. family members and friends, respectively) is significant, while interaction with weak ties (coworkers) has no association. General trust and trust in the central government are also significantly related to subjective health, as is trust in religious authority, albeit in an inverse way. This study calls for a more contingent view of the relationship between social capital and self-reported health. Future research needs to take this into consideration in hypothesizing and testing the potential health benefits of social capital.

  18. Ranking system for national regulatory jurisdictions based on pesticide standard values in major exposures

    Directory of Open Access Journals (Sweden)

    Zijian Li

    2017-07-01

    Full Text Available To control the risk of human exposure to pesticides, about 50 nations have promulgated pesticide soil regulatory guidance values (RGVs, and 104 nations have provided pesticide drinking water maximum concentration levels (MCLs. In addition, 90 nations have regulated pesticide agricultural commodity maximum residue limits (MRLs. Pesticide standard values (PSVs for one single pesticide varied in a range of six, seven, or even eight orders of magnitude. Some PSVs are too large to prevent the impact of pesticides on human health. Many nations have not provided PSVs for some commonly used pesticides until now. This research has introduced several completeness values and numerical values methods to evaluate the national jurisdiction’s performance on PSVs on a nation base. The national jurisdiction ranking system developed by these methods will be beneficial to the environmental regulation makers in the management of PSVs. Results also indicate that European countries perform better in the regulation of pesticide soil RGVs, drinking water MCLs, and agricultural commodity MRLs.

  19. Environmental and security challenges of nuclear plants

    International Nuclear Information System (INIS)

    Omar, A.S.

    2014-01-01

    The world population increase, the acceleration of global requirement for development and the need to expand energy production, have led to the depletion of natural resources. The international efforts are increasing to get clean, safe and economical energy sources . The electricity generated from nuclear energy considers less polluting and high economic competitiveness as well as reliability and efficiency. The nuclear power plants projects face significant challenges, especially after two major accidents, in Chernobyl 1986 and Fukushima 2011 including the fears of radiation effects, nuclear waste management and nuclear proliferation issues, as well as the lack of public acceptance. So those bodies interested in operating nuclear power plants work to increase nuclear safety standards, review the nuclear facilities safety, know the strict application of laws, seek to prove the economic competitiveness, maintain environmental security, assist in the nonproliferation regime and gain public acceptance. This article discusses the most important environmental and security challenges of nuclear power plants. It highlights the importance of the peaceful uses of nuclear energy as a source of sustainable development and environmental security. It also offers a number of recommendations to support the Arab countries trend towards the inclusion of nuclear energy option within their national programs to generate electricity. (author)

  20. BALB/c Mice Vaccinated with Leishmania major Ribosomal Proteins Extracts Combined with CpG Oligodeoxynucleotides Become Resistant to Disease Caused by a Secondary Parasite Challenge

    Directory of Open Access Journals (Sweden)

    Laura Ramírez

    2010-01-01

    Full Text Available Leishmaniasis is an increasing public health problem and effective vaccines are not currently available. We have previously demonstrated that vaccination with ribosomal proteins extracts administered in combination of CpG oligodeoxynucleotides protects susceptible BALB/c mice against primary Leishmania major infection. Here, we evaluate the long-term immunity to secondary infection conferred by this vaccine. We show that vaccinated and infected BALB/c mice were able to control a secondary Leishmania major challenge, since no inflammation and very low number of parasites were observed in the site of reinfection. In addition, although an increment in the parasite burden was observed in the draining lymph nodes of the primary site of infection we did not detected inflammatory lesions at that site. Resistance against reinfection correlated to a predominant Th1 response against parasite antigens. Thus, cell cultures established from spleens and the draining lymph node of the secondary site of infection produced high levels of parasite specific IFN-γ in the absence of IL-4 and IL-10 cytokine production. In addition, reinfected mice showed a high IgG2a/IgG1 ratio for anti-Leishmania antibodies. Our results suggest that ribosomal vaccine, which prevents pathology in a primary challenge, in combination with parasite persistence might be effective for long-term maintenance of immunity.

  1. Psychiatric and medical disorders in the after math of the uttarakhand disaster: assessment, approach, and future challenges.

    Science.gov (United States)

    Channaveerachari, Naveen Kumar; Raj, Aneel; Joshi, Suvarna; Paramita, Prajna; Somanathan, Revathi; Chandran, Dhanya; Kasi, Sekar; Bangalore, N Roopesh; Math, Suresh Bada

    2015-01-01

    To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India. Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria. Data were collected by direct observation, interview of the survivors, group sessions, individual key-informant interview, individual session, and group interventions. Patients with physical health problems formed the majority of treatment seekers (39.6%) in this report. Only about 2% had disaster induced psychiatric diagnoses. As was expected, minor mental disorders in the form of depressive disorders and anxiety disorders formed majority of the psychiatric morbidity. Substance use disorders appear to be very highly prevalent in the community; however, we were not able to assess the morbidity systematically. The mental health infrastructure and manpower is abysmally inadequate. There is an urgent need to implement the National Mental Health Program to increase the mental health infrastructure and services in the four major disaster-affected districts.

  2. Sponsorship of National Health Organizations by Two Major Soda Companies.

    Science.gov (United States)

    Aaron, Daniel G; Siegel, Michael B

    2017-01-01

    Obesity is a pervasive public health problem in the U.S. Reducing soda consumption is important for stemming the obesity epidemic. However, several articles and one book suggest that soda companies are using their resources to impede public health interventions that might reduce soda consumption. Although corporate sponsorship by tobacco and alcohol companies has been studied extensively, there has been no systematic attempt to catalog sponsorship activities of soda companies. This study investigates the nature, extent, and implications of soda company sponsorship of U.S. health and medical organizations, as well as corporate lobbying expenditures on soda- or nutrition-related public health legislation from 2011 to 2015. Records of corporate philanthropy and lobbying expenditures on public health legislation by soda companies in the U.S. during 2011-2015 were found through Internet and database searches. From 2011 to 2015, the Coca-Cola Company and PepsiCo were found to sponsor a total of 95 national health organizations, including many medical and public health institutions whose specific missions include fighting the obesity epidemic. During the study period, these two soda companies lobbied against 29 public health bills intended to reduce soda consumption or improve nutrition. There is surprisingly pervasive sponsorship of national health and medical organizations by the nation's two largest soda companies. These companies lobbied against public health intervention in 97% of cases, calling into question a sincere commitment to improving the public's health. By accepting funding from these companies, health organizations are inadvertently participating in their marketing plans. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

  3. The success factors and the major challenges that Tal-Massar Winery in Gozo needs to address to develop the full potential of wine tourism

    OpenAIRE

    Borg, Jesmond

    2017-01-01

    This study focuses on the concept of wine tourism as a growing niche on the island of Gozo. Over the last decade, Gozo has seen a synergy between wine and the tourism indus-try which has led to the development of what is commonly known as wine tourism. As in other countries, wine tourism on this small island is leaving an impact on the social and economic aspects. This research aims to portray the success factors and the major challenges that Gozo needs to address to develop the full pot...

  4. Development Challenges in Bhutan

    DEFF Research Database (Denmark)

    This book provides essential insights into Bhutan’s developmental challenges. It analyzes and scrutinizes the sovereign state’s developmental approach, including the idea of Gross National Happiness (GNH), which has replaced Gross National Product (GNP) as a measurement of prosperity. The authors...... also explore and deconstruct ideational and cultural aspects of knowledge production and present a critical overall assessment of the political economy of education policy, health, ICT and migration in Bhutan. The book is divided into five parts all taking a critical approach towards inequality: Part...

  5. Environmental restoration and management of low-level radioactive and mixed waste at Oak Ridge National Laboratory

    International Nuclear Information System (INIS)

    Kendrick, C.M.

    1994-01-01

    Management of radioactive waste at Oak Ridge National Laboratory (ORNL) must address several major challenges. First, contaminants from some disposed wastes are leaching into the groundwater and these disposal sites must be remediated. Second, some of these ''legacy'' wastes, as well as currently generated radioactive wastes, are also contaminated with chemicals, including polychlorinated biphenyls (PCBs), solvents, and metals (i.e., mixed waste). Third, wastes containing long-lived radionuclides in concentrations above established limits have been determined unsuited for disposal on the Oak Ridge Reservation. Reflecting these challenges, ORNL's strategy for managing its radioactive wastes continues to evolve with the development of improved technologies and site-specific adaptation of some standard technologies

  6. Antiretroviral drug supply challenges in the era of scaling up ART in Malawi.

    Science.gov (United States)

    Schouten, Erik J; Jahn, Andreas; Ben-Smith, Anne; Makombe, Simon D; Harries, Anthony D; Aboagye-Nyame, Francis; Chimbwandira, Frank

    2011-07-06

    The number of people receiving antiretroviral treatment (ART) has increased considerably in recent years and is expected to continue to grow in the coming years. A major challenge is to maintain uninterrupted supplies of antiretroviral (ARV) drugs and prevent stock outs. This article discusses issues around the management of ARVs and prevention of stock outs in Malawi, a low-income country with a high HIV/AIDS burden, and a weak procurement and supply chain management system. This system for ARVs, paid for by the Global Fund to Fight AIDS, Tuberculosis and Malaria, and bypassing the government Central Medical Stores, is in place, using the United Nations Children's Fund's (UNICEF's) procurement services. The system, managed by a handful of people who spend limited time on supply management, is characterized by a centrally coordinated quantification based on verified data from all national ART clinics, parallel procurement through UNICEF, and direct distribution to ART clinics. The model worked well in the first years of the ART programme with a single first-line ARV regimen, but with more regimens becoming available (e.g., alternative first-line, second-line and paediatric regimens), it has become more difficult to administer. Managing supplies through a parallel system has the advantage that weaknesses in the national system have limited influence on the ARV procurement and supply chain management system. However, as the current system operates without a central warehouse and national buffer stock capacity, it diminishes the ability to prevent ARV stock outs. The process of ordering ARVs, from the time that estimates are made to the arrival of supplies in health facilities, takes approximately one year. Addressing the challenges involved in maintaining ARVs through an efficient procurement and supply chain management system that prevents ARV stock outs through the establishment of a dedicated procurement team, a central warehouse and/or national buffer stock is a

  7. Ghana's National Health Insurance Scheme: an assessment of problems and challenges

    OpenAIRE

    Danquah, Jones Kwame Adom

    2017-01-01

    Despite impressive progress since 2003, huge challenges remain in the effort to improve health outcomes in Ghana and achieve related goals concerning universal coverage, basic needs, equity, inclusion, risk protection and reaching poor and marginalized groups. One of these challenges is how health should be financed – who should pay how much and through what arrangements, given the reality that the services and other actions needed to attain desired health results inevitably involve costs tha...

  8. Videos - The National Guard

    Science.gov (United States)

    Legislative Liaison Small Business Programs Social Media State Websites Videos Featured Videos On Every Front 2:17 Always Ready, Always There National Guard Bureau Diversity and Inclusion Play Button 1:04 National Guard Bureau Diversity and Inclusion The ChalleNGe Ep.5 [Graduation] Play Button 3:51 The

  9. Occupational health and safety challenges in China--focusing on township-village enterprises.

    Science.gov (United States)

    Wang, Xiaorong; Wu, Siying; Song, Qingkun; Tse, Lap-Ah; Yu, Ignatius T S; Wong, Tze-Wai; Griffiths, Sian

    2011-01-01

    China has experienced dramatic industrialization, urbanization, and economic growth over the last 3 decades. The rapid transformation and dramatic prosperity of industries in rural areas have, in turn, created tremendous challenges for occupational health and safety (OHS). This article was prepared to address occupational health and safety issues in township- and village-owned enterprises (TVEs) from several aspects, including working conditions and workplace hazards, major recognized OHS problems, implications of TVE industries to environmental health, and migrant workers. Among the major recognized OHS problems, pneumoconiosis, chemical poisoning, and workplace accidents, especially in small-scale coal mines, are highlighted. It is suggested that the national polices and regulations that specifically target TVEs are indispensable and a more powerful administrative structure should be established to ensure that the pertinent polices, regulations, and OHS standards can be enforced widely and effectively in practice. Copyright © 2011 Taylor & Francis Group, LLC

  10. Sandia National Laboratories focus issue: introduction.

    Science.gov (United States)

    Boye, Robert

    2014-08-20

    For more than six decades, Sandia has provided the critical science and technology to address the nation's most challenging issues. Our original nuclear weapons mission has been complemented with work in defense systems, energy and climate, as well as international and homeland security. Our vision is to be a premier science and engineering laboratory for technology solutions to the most challenging problems that threaten peace and freedom for our nation and the globe.

  11. Plutonium research and related activities at the Amarillo National Resource Center for Plutonium

    International Nuclear Information System (INIS)

    Hartley, R.S.; Beard, C.A.; Barnes, D.L.

    1998-01-01

    With the end of the Cold War, the US and Russia are reducing their nuclear weapons stockpiles. What to do with the materials from thousands of excess nuclear weapons is an important international challenge. How to handle the remaining US stockpile to ensure safe storage and reliability, in light of the aging support infrastructure, is an important national challenge. To help address these challenges and related issues, the Amarillo National Resource Center for Plutonium is working on behalf of the State of Texas with the US Department of Energy (DOE). The center directs three major programs that address the key aspects of the plutonium management issue: (1) the Communications, Education, Training and Community Involvement Program, which focuses on informing the public about plutonium and providing technical education at all levels; (2) the Environmental, Safety, and Health (ES and H) Program, which investigates the key ES and H impacts of activities related to the DOE weapons complex in Texas; and (3) the Nuclear and Other Materials Program, which is aimed at minimizing safety and proliferation risks by helping to develop and advocate safe stewardship, storage, and disposition of nuclear weapons materials. This paper provides an overview of the center's nuclear activities described in four broad categories of international activities, materials safety, plutonium storage, and plutonium disposition

  12. Major causes of lamb mortality at Ebinat woreda, Amhara National ...

    African Journals Online (AJOL)

    A year-round (from September 2008 to August 2009) study was conducted to investigate causes of lamb mortality at Ebinat woreda, Amhara National Regional State, northwestern Ethiopia. Two hundred and forty one lambs under the age of six months were exploited for analysis of this study. Out of the 241 lambs observed, ...

  13. Indigenous mothers face more than three delays: The challenges of multiculturalism in health

    Directory of Open Access Journals (Sweden)

    Roosta-G., Manigeh

    2015-08-01

    Full Text Available Although the maternal mortality ratio has descended in Bolivia from 416 (1989 to 229 deaths (DHS 2003 per one hundred thousand live births, it is one of the highest in the region. As a national average, the ratio conceals the rural-urban, socio-economics differences and the reality of the indigenous population. Maternal mortality is one of the major challenges at national level. Reduction of maternal mortality, in addition of technical-medical measures offering health services, requires to focus on socio-cultural aspects that hamper the access to health services. This article examines challenges faced by indigenous mothers accessing the health services. In addition to the geographic, economic and administrative barriers that generate delays in access to the health services, there are others that are presented in the context of multiculturalism resulting from discriminatory attitudes exercised in health centers. The testimonies of indigenous mothers show delays faced in health centers because of prejudice and discrimination suffered, threatening the lives of mothers and their babies. The study also suggests the need to deepen the concept of multiculturalism as a successful strategy in health, in order to promote equity and social justice on the horizon of more inclusive societies.

  14. Science Education and Challenges of Globalization in Igbo Nation

    Science.gov (United States)

    Ezeudu, F. O.; Nkokelonye, C. U.; Adigwe, J. C.

    2013-01-01

    This paper reviewed the scientific contents in Igbo culture. Description of the Igbos who constitutes an ethnic group occupying southeastern Nigeria was made. It x-rayed the pre-colonial, colonial, and post-colonial culture of Igbo people and identified the scientific cultural activities, which can be harnessed to meet the challenges of modern day…

  15. Major Depression Can Be Prevented

    Science.gov (United States)

    Munoz, Ricardo F.; Beardslee, William R.; Leykin, Yan

    2012-01-01

    The 2009 Institute of Medicine report on prevention of mental, emotional, and behavioral disorders (National Research Council & Institute of Medicine, 2009b) presented evidence that major depression can be prevented. In this article, we highlight the implications of the report for public policy and research. Randomized controlled trials have shown…

  16. International migration: a global challenge.

    Science.gov (United States)

    Martin, P; Widgren, J

    1996-04-01

    Trends in international migration are presented in this multiregional analysis. Seven of the world's wealthiest countries have about 33% of the world's migrant population, but under 16% of the total world population. Population growth in these countries is substantially affected by the migrant population. The migration challenge is external and internal. The external challenge is to balance the need for foreign labor and the commitment to human rights for those migrants seeking economic opportunity and political freedom. The internal challenge is to assure the social adjustment of immigrants and their children and to integrate them into society as citizens and future leaders. Why people cross national borders and how migration flows are likely to evolve over the next decades are explained. This report also presents some ways that countries can manage migration or reduce the pressures which force people to migrate. It is recommended that receiving nations control immigration by accelerating global economic growth and reducing wars and human rights violations. This report examines the impact of immigration on international trade, aid, and direct intervention policies. Although migration is one of the most important international economic issues, it is not coordinated by an international group. The European experience indicates that it is not easy to secure international cooperation on issues that affect national sovereignty. It is suggested that countries desiring control of their borders should remember that most people never cross national borders to live or work in another country, that 50% of the world's migrants move among developing countries, and that countries can shift from being emigration to immigration countries. The author suggests that sustained reductions in migration pressure are a better alternative than the "quick fixes" that may invite the very much feared mass and unpredictable movements.

  17. Artificial Neural Network forecasting of storm surge water levels at major estuarine ports to supplement national tide-surge models and improve port resilience planning

    Science.gov (United States)

    French, Jon; Mawdsley, Robert; Fujiyama, Taku; Achuthan, Kamal

    2017-04-01

    Effective prediction of tidal storm surge is of considerable importance for operators of major ports, since much of their infrastructure is necessarily located close to sea level. Storm surge inundation can damage critical elements of this infrastructure and significantly disrupt port operations and downstream supply chains. The risk of surge inundation is typically approached using extreme value analysis, while short-term forecasting generally relies on coastal shelf-scale tide and surge models. However, extreme value analysis does not provide information on the duration of a surge event and can be sensitive to the assumptions made and the historic data available. Also, whilst regional tide and surge models perform well along open coasts, their fairly coarse spatial resolution means that they do not always provide accurate predictions for estuarine ports. As part of a NERC Environmental Risks to Infrastructure Innovation Programme project, we have developed a tool that is specifically designed to forecast the North Sea storm surges on major ports along the east coast of the UK. Of particular interest is the Port of Immingham, Humber estuary, which handles the largest volume of bulk cargo in the UK including major flows of coal and biomass for power generation. A tidal surge in December 2013, with an estimated return period of 760 years, partly flooded the port, damaged infrastructure and disrupted operations for several weeks. This and other recent surge events highlight the need for additional tools to supplement the national UK Storm Tide Warning Service. Port operators are also keen to have access to less computationally expensive forecasting tools for scenario planning and to improve their resilience to actual events. In this paper, we demonstrate the potential of machine learning methods based on Artificial Neural Networks (ANNs) to generate accurate short-term forecasts of extreme water levels at estuarine North Sea ports such as Immingham. An ANN is

  18. Managing nuclear liabilities: 'hospital pass' or major opportunity?

    International Nuclear Information System (INIS)

    May, D.

    1995-01-01

    This paper sets out to start changing the perception that liabilities management is an unattractive part of the UK Nuclear Industry. The paper describes BNFL's successes and long term challenges in this area and concludes that liabilities management presents a major opportunity to:-Remove an Achilles heel of the industry; Create value for the companies concerned by successfully driving down costs; Sustain and exploit internationally a major UK competitive edge. (Author)

  19. Online Learning: Addressing Challenges and Seizing Opportunities. Hawaii

    Science.gov (United States)

    Alliance for Excellent Education, 2010

    2010-01-01

    America's K-12 education system faces three significant challenges: (1) increased global demands for skilled workers, (2) significant financial shortfalls, and (3) a looming teacher shortage. Independently, these factors present significant challenges for U.S. schools. In combination, they create a national imperative for swift action to create a…

  20. Ergonomics and sustainability – challenges from global supply chains

    DEFF Research Database (Denmark)

    Hasle, Peter; Jensen, Per Langaa

    2012-01-01

    The development of globalised supply chains is a major challenge for sustainability. For several years, there has been discussion within the profession whether and how ergonomics and human factors can play a role. Based on our research, we have identified five major challenges from global supply...... chains especially related to the social aspects of sustainability: (1) criteria for social sustainability, (2) the role of key performance indicators in the management of supply chains, (3) the constant changes in supply chains, (4) the challenge in establishing participation, and (5) the development...... of agency and regulatory mechanisms. There are obviously no clear and simple solutions to these challenges. One possible avenue for progress might lie in acquiring a greater understanding of the challenges from global supply chains and developing a strategy which combines social and long-term business...

  1. Risk management at Lawrence Livermore National Laboratory

    International Nuclear Information System (INIS)

    Cummings, G.E.; Strait, R.S.

    1993-10-01

    Managing risks at a large national laboratory presents a unique set of challenges. These challenges include the management of a broad diversity of activities, the need to balance research flexibility against management control, and a plethora of requirements flowing from regulatory and oversight bodies. This paper will present the experiences of Lawrence Livermore National Laboratory (LLNL) in risk management and in dealing with these challenges. While general risk management has been practiced successfully by all levels of Laboratory management, this paper will focus on the Laboratory's use of probabilistic safety assessment and prioritization techniques and the integration of these techniques into Laboratory operations

  2. Challenges and Prospects of Traditional Food Processing ...

    African Journals Online (AJOL)

    This paper focuses on challenges and prospects of traditional food processing technologies and their products in Nigeria. The major objective of the paper is to identify the challenges confronting traditional food processing technologies as well as the potentials the traditional food processing technologies has in boosting the ...

  3. Challenges of using methadone in the Indian pain and palliative care practice

    Directory of Open Access Journals (Sweden)

    Vidya Viswanath

    2018-01-01

    Full Text Available Palliative care providers across India lobbied to gain access to methadone for pain relief and this has finally been achieved. Palliative care activists will count on the numerous strengths for introducing methadone in India, including the various national and state government initiatives that have been introduced recognizing the importance of palliative care as a specialty in addition to improving opioid accessibility and training. Adding to the support are the Non-Governmental Organizations (NGOs, the medical fraternity and the international interactive and innovative programs such as the Project Extension for Community Health Outcome. As compelling as the need for methadone is, many challenges await. This article outlines the challenges of procuring methadone and also discusses the challenges specific to methadone. Balancing the availability and diversion in a setting of opioid phobia, implementing the amended laws to improve availability and accessibility in a country with diverse health-care practices are the major challenges in implementing methadone for relief of pain. The unique pharmacology of the drug requires meticulous patient selection, vigilant monitoring, and excellent communication and collaboration with a multidisciplinary team and caregivers. The psychological acceptance of the patient, the professional training of the team and the place where care is provided are also challenges which need to be overcome. These challenges could well be the catalyst for a more diligent and vigilant approach to opioid prescribing practices. Start low, go slow could well be the way forward with caregiver education to prescribe methadone safely in the Indian palliative care setting.

  4. Challenges of Using Methadone in the Indian Pain and Palliative Care Practice.

    Science.gov (United States)

    Viswanath, Vidya; Palat, Gayatri; Chary, Srini; Broderick, Ann

    2018-01-01

    Palliative care providers across India lobbied to gain access to methadone for pain relief and this has finally been achieved. Palliative care activists will count on the numerous strengths for introducing methadone in India, including the various national and state government initiatives that have been introduced recognizing the importance of palliative care as a specialty in addition to improving opioid accessibility and training. Adding to the support are the Non-Governmental Organizations (NGOs), the medical fraternity and the international interactive and innovative programs such as the Project Extension for Community Health Outcome. As compelling as the need for methadone is, many challenges await. This article outlines the challenges of procuring methadone and also discusses the challenges specific to methadone. Balancing the availability and diversion in a setting of opioid phobia, implementing the amended laws to improve availability and accessibility in a country with diverse health-care practices are the major challenges in implementing methadone for relief of pain. The unique pharmacology of the drug requires meticulous patient selection, vigilant monitoring, and excellent communication and collaboration with a multidisciplinary team and caregivers. The psychological acceptance of the patient, the professional training of the team and the place where care is provided are also challenges which need to be overcome. These challenges could well be the catalyst for a more diligent and vigilant approach to opioid prescribing practices. Start low, go slow could well be the way forward with caregiver education to prescribe methadone safely in the Indian palliative care setting.

  5. Oak Ridge National Laboratory institutional plan, FY 1992--FY 1997

    Energy Technology Data Exchange (ETDEWEB)

    1991-11-01

    In operation for fifty years, the Oak Ridge National Laboratory (ORNL) is managed by Martin Marietta Energy Systems, Inc., for the US Department of Energy (DOE). ORNL is one of DOE's major multiprogram national laboratories. Activities at the Laboratory are focused on basic and applied research, on technology development, and on other technological challenges that are important to DOE and to the nation. The Laboratory also performs research and development (R D) for non-DOE sponsors when such activities complement DOE missions and address important national or international issues. The Laboratory is committed to the pursuit of excellence in all its activities, including the commitment to carry out its missions in compliance with environmental, safety, and health laws and regulations. The principal elements of the Laboratory's missions in support of DOE include activities in each of the following areas: (1) Energy production and conservation technologies; (2) physical and life sciences; (3) scientific and technical user facilities; (4) environmental protection and waste management; (5) science technology transfer; and, (6) education. This institutional plan for ORNL activities is for the next five years: FY 1992--1997.

  6. Systems Challenges for Hypersonic Vehicles

    Science.gov (United States)

    Hunt, James L.; Laruelle, Gerard; Wagner, Alain

    1997-01-01

    This paper examines the system challenges posed by fully reusable hypersonic cruise airplanes and access to space vehicles. Hydrocarbon and hydrogen fueled airplanes are considered with cruise speeds of Mach 5 and 10, respectively. The access to space matrix is examined. Airbreathing and rocket powered, single- and two-stage vehicles are considered. Reference vehicle architectures are presented. Major systems/subsystems challenges are described. Advanced, enhancing systems concepts as well as common system technologies are discussed.

  7. THORP and after - challenging state decisions

    International Nuclear Information System (INIS)

    Bowden, P.; Lawrence, J.

    1994-01-01

    This article looks at an increasing trend for European Community law to be used by those seeking to challenge decisions taken at a national level which effect the environment. The debate over the future operation of British Nuclear Fuels Ltd's Thermal Oxide Reprocessing Plant at the Sellafield site (THORP) is used as an example of this trend. The United Kingdom government's energy policy authorised the construction and operation of the THORP plant. The decision to continue with the project has been challenged by Greenpeace and Lancashire County Council acting cooperatively. Their challenge was based on Community law and legislation. (UK)

  8. Female Gender and Acne Disease Are Jointly and Independently Associated with the Risk of Major Depression and Suicide: A National Population-Based Study

    Directory of Open Access Journals (Sweden)

    Yi-Chien Yang

    2014-01-01

    Full Text Available Acne is a common disease in adolescence with female preponderance. It could cause poor self-esteem and social phobia. Previous studies based on questionnaires from several thousands of adolescents showed that acne is associated with major depression and suicide. However, the gender- and age-specific risk of depression and suicide in patients with acne remain largely unknown. Using a database from the National Health Insurance, which included 98% of the population of Taiwan in 2006, we identified patients of acne, major depression, and suicide based on ICD-9-CM codes. Totally 47111 patients with acne were identified (16568 males and 30543 females from 1 million subjects. The youths of 7–12 years had the highest prevalence of acne (14.39%. Major depression was more common in those with acne (0.77% than controls (0.56% , P < 0.0001 regardless of gender. Multiple logistic regression showed an increased risk of major depression in women without acne (OR = 1.85, 95% CI 1.75–1.96. The risk is additive in women with acne (OR = 2.78, 95% CI 2.43–3.17. Similar additive risk of suicide was noticed in women with acne. In conclusion, acne and gender, independently and jointly, are associated with major depression and suicide. Special medical support should be warranted in females with acne for the risk of major depression and suicide.

  9. Low maintenance options and challenges for the collection and interception of mine drainage

    International Nuclear Information System (INIS)

    Jarvis, A.P.; Younger, P.L.

    2008-01-01

    A vast majority of mining operations in the United Kingdom have been abandoned, leaving a legacy of abandoned deep coal and metal mines and waste rock piles. The United Kingdom has committed to address environmental problems from deep coal mines of the former nationalized coal mining industry. No such body for abandoned metal mines or for waste rock piles exists, therefore remediation initiatives tend to be in stages. This presentation described low maintenance options and challenges for the collection and interception of mine drainage. The presentation provided several illustrations and charts as well as discussions related to regional dewatering; aquifer protection; pump-and-treat; and gravity drainage with treatment. Several challenges such as water quality, conservation, archaeology, local interest, and health and safety were also presented. It was demonstrated that for a variety of reasons, most current mine water treatment systems in the United Kingdom comprise pumping to a treatment system, or even pumping to avoid treatment. tabs., figs

  10. Challenges in the Management and Stewardship of Airborne Observational Data at the National Center for Atmospheric Research (NCAR) Earth Observing Laboratory (EOL)

    Science.gov (United States)

    Aquino, J.; Daniels, M. D.

    2015-12-01

    The National Science Foundation (NSF) provides the National Center for Atmospheric Research (NCAR) Earth Observing Laboratory (EOL) funding for the operation, maintenance and upgrade of two research aircraft: the NSF/NCAR High-performance Instrumented Airborne Platform for Environmental Research (HIAPER) Gulfstream V and the NSF/NCAR Hercules C-130. A suite of in-situ and remote sensing airborne instruments housed at the EOL Research Aviation Facility (RAF) provide a basic set of measurements that are typically deployed on most airborne field campaigns. In addition, instruments to address more specific research requirements are provided by collaborating participants from universities, industry, NASA, NOAA or other agencies (referred to as Principal Investigator, or PI, instruments). At the 2014 AGU Fall Meeting, a poster (IN13B-3639) was presented outlining the components of Airborne Data Management included field phase data collection, formats, data archival and documentation, version control, storage practices, stewardship and obsolete data formats, and public data access. This talk will cover lessons learned, challenges associated with the above components, and current developments to address these challenges, including: tracking data workflows for aircraft instrumentation to facilitate identification, and correction, of gaps in these workflows; implementation of dataset versioning guidelines; and assignment of Digital Object Identifiers (DOIs) to data and instrumentation to facilitate tracking data and facility use in publications.

  11. Orbital Cellulitis: Clinical Course and Management Challenges. The ...

    African Journals Online (AJOL)

    Orbital Cellulitis: Clinical Course and Management Challenges. The Lagos State University Teaching Hospital Experience. ... The major management challenges were poor financial status of patients precluding necessary diagnostic laboratory and imaging studies. Early recognition, diagnosis and treatment are crucial to ...

  12. Energy and sustainable development : challenges, risks and leeway

    International Nuclear Information System (INIS)

    Dessus, B.

    2000-01-01

    Sustainable development is a major challenge facing humanity in this new millennium. Demographers have predicted that it will take approximately 100 years for our planet to reach demographic maturity, implying there is only that amount of time to find solutions to sustainable development. Problems related to energy needs and environment are influenced by factors such as: (1) population increase, (2) required access to development and urbanization, and (3) continuation by the Northern countries to consume goods and services. We are also challenged by four major risk factors concerning energy: (1) risk of depletion of fossil resources such as coal, petroleum, natural gas, (2) global warming caused by greenhouse gases, (3) risk from the utilization of nuclear energy, and (4) risk of intense utilization of potential agricultural lands for energy production. In the past 50 years, we have relied too much on the production of energy, and this approach has not yielded a satisfactory solution. Two types of scenarios were proposed for 2050. The first type is based on development through an abundance of energy, where the risks are unavoidable. The only differences between each scenario in this category is the increase or decrease of one risk factor to the detriment of the others. The second type of scenario is based on development through the control of energy requirements. Six scenarios proposed by the International Institute of Applied Systems Analysis and National Scientific Research Centre were compared. In each scenario, the world was subdivided into 11 geographical regions and based on world populations of 8 billion in 2020, and 10 billion in 2050, as well as very similar economic growth predictions. Results indicated that the main differentiating factor was volume of energy rather than type of energy resource. Greenhouse gases increase, as do the amounts of nuclear wastes. It became clear that energy conservation measures have the potential to help us achieve

  13. Food Security In South Asia: Major Challenges And Solutions

    Directory of Open Access Journals (Sweden)

    N. V. Galistcheva

    2018-01-01

    seasonally, as well as food consumption within the context of dietary energy consumption and dietary protein and fat consumption. The author examines all the seven South Asian countries’ national policies for food security aiming at struggle against undernourishment. The author draws the attention to the fact that despite the slight differences in tools they have common aims and tasks. The key directions of national policies for food security include measures to promote big agro-based industries financed by both private and public sector; increase agricultural productivity; enhance agricultural R&D; managing food security risks and vulnerabilities. The author also notes the steps to aiming the collective food security within the framework of the regional integration group – the SAARC. The article presents statistical data characterizing hunger and undernourishment trends in South Asia.

  14. GLOBAL OR NATIONAL BRANDS?

    Directory of Open Access Journals (Sweden)

    Sorina GÎRBOVEANU

    2007-01-01

    Full Text Available Today, branding is such a strong force that hardly anything goes unbranded. Branding in global markets poses several challenges to the marketers. A key decision is the choice between global and nationals brands. This article gives the answers to the questions: what is, what is need for, what are the advantages, costs and risks of global and national brands? All go to the following conclusion: use global brands where possible and national brands where necessary.

  15. Environmental restoration and management of low-level radioactive and mixed waste at Oak Ridge National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Kendrick, C.M.

    1994-03-01

    Management of radioactive waste at Oak Ridge National Laboratory (ORNL) must address several major challenges. First, contaminants from some disposed wastes are leaching into the groundwater and these disposal sites must be remediated. Second, some of these ``legacy`` wastes, as well as currently generated radioactive wastes, are also contaminated with chemicals, including polychlorinated biphenyls (PCBs), solvents, and metals (i.e., mixed waste). Third, wastes containing long-lived radionuclides in concentrations above established limits have been determined unsuited for disposal on the Oak Ridge Reservation. Reflecting these challenges, ORNL`s strategy for managing its radioactive wastes continues to evolve with the development of improved technologies and site-specific adaptation of some standard technologies.

  16. Psychosocial work factors, major depressive and generalised anxiety disorders: results from the French national SIP study.

    Science.gov (United States)

    Murcia, Marie; Chastang, Jean-François; Niedhammer, Isabelle

    2013-04-25

    Anxiety and depression are prevalent mental disorders in working populations. The risk factors of these disorders are not completely well known. Developing knowledge on occupational risk factors for mental disorders appears crucial. This study investigates the association between various classical and emergent psychosocial work factors and major depressive and generalised anxiety disorders in the French working population. The study was based on a national random sample of 3765 men and 3944 women of the French working population (SIP 2006 survey). Major Depressive Disorder (MDD) and Generalised Anxiety Disorder (GAD) were measured using a standardised diagnostic interview (MINI). Occupational factors included psychosocial work factors as well as biomechanical, physical, and chemical exposures. Adjustment variables included age, occupation, marital status, social support, and life events. Multivariate analysis was performed using logistic regression analysis. Low decision latitude, overcommitment, and emotional demands were found to be risk factors for both MDD-GAD among both genders. Other risk factors were observed: high psychological demands, low reward, ethical conflict, and job insecurity, but differences were found according to gender and outcome. Significant interaction terms were observed suggesting that low decision latitude, high psychological demands, and job insecurity had stronger effects on mental disorders for men than for women. Given the cross-sectional study design, no causal conclusion could be drawn. This study showed significant associations between classical and emergent psychosocial work factors and MDD-GAD. Preventive actions targeting various psychosocial work factors, including emergent factors, may help to reduce mental disorders at the workplace. Copyright © 2012 Elsevier B.V. All rights reserved.

  17. Challenge theme 7: Information support for management of border security and environmental protection: Chapter 9 in United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Parcher, Jean W.; Page, William R.

    2013-01-01

    Historically, international borders were located far from the major political and economic capitals of their countries and rarely received adequate planning or infrastructure development. Today, as a result of global economics and increased movement of goods between nations, border regions play a much greater role in commerce, tourism, and transportation. For example, Mexico is the second largest destination for United States exports (Woodrow Wilson Center Mexico Institute, 2009). The rapid population and economic growth along the United States–Mexican border, undocumented human border crossings, and the unique natural diversity of resources in the Borderlands present challenges for border security and environmental protection. Assessing risks and implementing sustainable growth policies to protect the environment and quality of life greatly increase in complexity when the issues cross an international border, where social services, environmental regulations, lifestyles, and cultural beliefs are unique for each country. Shared airsheds, water and biological resources, national security issues, and disaster management needs require an integrated binational approach to assess risks and develop binational management strategies.

  18. Juvenile Toxicology: Relevance and Challenges for Toxicologists and Pathologists

    Science.gov (United States)

    Remick, Amera K.; Catlin, Natasha R.; Quist, Erin M.; Steinbach, Thomas J.; Dixon, Darlene

    2015-01-01

    The Society of Toxicologic Pathology (STP) Education Committee and the STP Reproductive Special Interest Group held a North Carolina regional meeting entitled, “Juvenile Toxicology: Relevance and Challenges for Toxicologists and Pathologists” on March 13, 2015, at the National Institute of Environmental Health Sciences/National Toxicology Program in Research Triangle Park, North Carolina. The purpose of this regional meeting was to familiarize attendees with the topic of juvenile toxicity testing and discuss its relevance to clinical pediatric medicine, regulatory perspectives, challenges of appropriate study design confronted by toxicologists, and challenges of histopathologic examination and interpretation of juvenile tissues faced by pathologists. The 1-day meeting was a success with over 60 attendees representing industry, government, research organizations, and academia. PMID:26220944

  19. American Association of Pharmaceutical Scientists National Biotechnology Conference Short Course: Translational Challenges in Developing Antibody-Drug Conjugates: May 24, 2012, San Diego, CA.

    Science.gov (United States)

    Thudium, Karen; Bilic, Sanela; Leipold, Douglas; Mallet, William; Kaur, Surinder; Meibohm, Bernd; Erickson, Hans; Tibbitts, Jay; Zhao, Hong; Gupta, Manish

    2013-01-01

    The American Association of Pharmaceutical Scientists (AAPS) National Biotechnology Conference Short Course "Translational Challenges in Developing Antibody-Drug Conjugates (ADCs)," held May 24, 2012 in San Diego, CA, was organized by members of the Pharmacokinetics, Pharmacodynamics and Drug Metabolism section of AAPS. Representatives from the pharmaceutical industry, regulatory authorities, and academia in the US and Europe attended this short course to discuss the translational challenges in ADC development and the importance of characterizing these molecules early in development to achieve therapeutic utility in patients. Other areas of discussion included selection of target antigens; characterization of absorption, distribution, metabolism, and excretion; assay development and hot topics like regulatory perspectives and the role of pharmacometrics in ADC development. MUC16-targeted ADCs were discussed to illustrate challenges in preclinical development; experiences with trastuzumab emtansine (T-DM1; Genentech) and the recently approved brentuximab vedotin (Adcetris; Seattle Genetics) were presented in depth to demonstrate considerations in clinical development. The views expressed in this report are those of the participants and do not necessarily represent those of their affiliations.

  20. Old Disease and New Challenges: Major Obstacles of Current Strategies in the Prevention of Pertussis

    Science.gov (United States)

    Sedighi, Iraj; Karimi, Abdollah; Amanati, Ali

    2016-01-01

    Context Universal immunization against Bordetella pertussis has partially controlled the burden of the disease and its transmission. However, according to recent data, the epidemiology of this vaccine-preventable disease has changed. Now, younger infants, adolescents, and adults are at greater risk of infection. This article has studied the interaction between the various factors involved in the changing epidemiology of pertussis and the major obstacles faced by the current strategies in its prevention. Evidence Acquisition In this narrative review, the most recently published sources of information on pertussis control measures, consisting of textbooks and articles, have been reviewed. We focused on the more recent data about the changing epidemiology or pertussis in Scopus through the use of the MeSH-term words [pertussis] or [whooping cough] and [epidemiology] or [outbreak] or [resurgence], but our search was not restricted to this particular strategy; we also tried to find all of the most recent available data in the general field through other means. Results Primary and booster doses of the pertussis vaccine seem to partially control transmission of the disease, but despite the different preventive strategies available, pertussis continues to cause mortality and morbidity among high-risk groups. Conclusions Adding booster doses of acellular pertussis vaccine to the current national immunization practices with whole-cell vaccines for young adults and pregnant women seems to be a good option for controlling mortality and morbidity among high-risk groups such as very young infants. PMID:27729960

  1. Canada's oil sands, opportunities and challenges to 2015 : an energy market assessment

    International Nuclear Information System (INIS)

    2004-05-01

    The National Energy Board monitors the supply of all energy commodities in Canada along with the demand for Canadian energy commodities in domestic and export markets. This report provides an assessment of the current state of the oil sands industry and the potential for growth. It also identifies the major issues and challenges associated with the development of Canada's oil sands, one of the world's largest hydrocarbon resources. Initial production of Canada's oil sands began in 1967. The resource has become more economic to develop in recent years due to higher energy prices and new technologies. The economic potential of Canada's oil sands has been recognized internationally. Canadian oil sands production in 2004 will surpass 160,000 cubic metres per day. By 2015, production is expected to more than double to meet market demands. The challenges facing the industry include higher natural gas prices, capital cost overruns and environmental impacts. The major factors that affect the rate of oil sands development include natural gas supply, energy demand, oil and gas pricing, markets and pipelines, environmental considerations, emerging technologies, geopolitical issues, and labour. This report includes key findings for the following four key components: economic potential and development of the resource base; markets and pipelines; environmental and socio-economic impacts; and, potential spin-off developments in the electricity and petrochemical industries. 26 tabs., 53 figs

  2. Urban mental health: Challenges and perspectives

    DEFF Research Database (Denmark)

    Okkels, Niels

    2018-01-01

    Purpose of review: To provide an update on urban mental health and highlight the challenges that require urgent attention. Recent findings: The majority of the world's population live in towns and urbanization is expected to increase in all areas of the world. Challenges to mental health in urban...... services. Fast and unstructured urbanization, such as that seen in many developing countries, further exacerbates these challenges. There are promising initiatives emerging including initiatives to end homelessness, to improve access to green areas in urban environments, to provide emergency psychiatric...

  3. The Viability of the English Major in the Current Economy

    Science.gov (United States)

    Hiner, Amanda

    2012-01-01

    In an April, 2012 Wall Street Journal article titled "Wealth or Waste? Rethinking the Value of a Business Major," national reporter Melissa Korn explores an intriguing fact: the business major, the most popular major on college campuses for over 30 years and the discipline believed to be most economically viable by prospective college…

  4. Achieving competitive excellence in nuclear energy: The threat of proliferation; the challenge of inertial confinement fusion

    International Nuclear Information System (INIS)

    Nuckolls, J.H.

    1994-06-01

    Nuclear energy will have an expanding role in meeting the twenty-first-century challenges of population and economic growth, energy demand, and global warming. These great challenges are non-linearly coupled and incompletely understood. In the complex global system, achieving competitive excellence for nuclear energy is a multi-dimensional challenge. The growth of nuclear energy will be driven by its margin of economic advantage, as well as by threats to energy security and by growing evidence of global warming. At the same time, the deployment of nuclear energy will be inhibited by concerns about nuclear weapons proliferation, nuclear waste and nuclear reactor safety. These drivers and inhibitors are coupled: for example, in the foreseeable future, proliferation in the Middle East may undermine energy security and increase demand for nuclear energy. The Department of Energy's nuclear weapons laboratories are addressing many of these challenges, including nuclear weapons builddown and nonproliferation, nuclear waste storage and burnup, reactor safety and fuel enrichment, global warming, and the long-range development of fusion energy. Today I will focus on two major program areas at the Lawrence Livermore National Laboratory (LLNL): the proliferation of nuclear weapons and the development of inertial confinement fusion (ICF) energy

  5. Political Legitimacy of Vietnam’s One Party-State: Challenges and Responses

    Directory of Open Access Journals (Sweden)

    Carlyle A. Thayer

    Full Text Available This article focuses on the challenges to the authority of Vietnam’s one-party state that emerged in 2009 and state responses. Three separate challenges are discussed: opposition to bauxite mining in the Central Highlands; mass protests by the Catholic Church over land ownership issues; and revived political dissent by pro-democracy activists and bloggers. The Vietnam Communist Party bases its claims to political legitimacy on multiple sources. The bauxite mining controversy challenged the state’s claim to political legitimacy on the basis of performance. The Catholic land dispute challenged the state’s claim to legitimacy on rational-legal grounds. Revived political dissent, including the linkage of demands for democracy with concerns over environmental issues and relations with China, challenged the state’s claim to legitimacy based on nationalism. Vietnam responded in a “soft authoritarian” manner. Future challenges and state responses will be debated as Vietnam moves to convene its eleventh national party congress in 2010.

  6. Forging University-Community Collaboration: The Agency Perspective on National Service.

    Science.gov (United States)

    Tice, Carol H.

    1994-01-01

    With passage of the National and Community Service Trust Act of 1993, national service volunteers will be joining forces with community-based organizations to work with underserved populations, creating many challenges. The community agency perspective on some anticipated challenges, possible responses, and application of principles of good…

  7. Challenges in Designing Mechatronic Systems

    DEFF Research Database (Denmark)

    Torry-Smith, Jonas; Qamar, Ahsan; Achiche, Sofiane

    2013-01-01

    Development of mechatronic products is traditionally carried out by several design experts from different design domains. Performing development of mechatronic products is thus greatly challenging. In order to tackle this, the critical challenges in mechatronics have to be well understood and well...... supported through applicable methods and tools. This paper aims at identifying the major challenges, by conducting a systematic and thorough survey of the most relevant research work in mechatronic design. Solutions proposed in literature are assessed and illustrated through a case study in order...... to investigate if the challenges can be handled appropriately by the methods, tools, and mindsets suggested by the mechatronic community. Using a real world mechatronics case, the paper identifies the areas where further research is required, by showing a clear connection between the actual problems faced during...

  8. Rational Solutions for Challenges of the New Mellennium

    Energy Technology Data Exchange (ETDEWEB)

    Gover, J.; Guray, P.G.

    1998-08-01

    We have reviewed ten major public problems challenging our Nation as it enters the new millennium. These are defense, healthcare costs, education, aging population, energy and environment, crime, low productivity growth services, income distribution, regulations, and infrastructure. These problems share several features. First, each is so large, if it were soIved; it would have major impact on the U.S. economy. Second, each is resident in a socioeconomic system containing non-linear feedback loops and an adaptive human element. Third, each can only be solved by our political system, yet these problems are not responsive to piecemeal problem solving, the approach traditionally used by policy makers. However, unless each problem is addressed in the context of the system in which it resides, the solution maybe worse than the problem. Our political system is immersed in reams of disconnected, unintelligible information skewed by various special interests to suggest policies favoring their particular needs. Help is needed, if rational solutions that serve public interests are to be forged for these ten probIems, The simulation and modeIing tools of physical scientists, engineers, economists, social scientists, public policy experts, and others, bolstered by the recent explosive growth in massively parallel computing power, must be blended together to synthesize models of the complex systems in which these problems are resident. These models must simulate the seemingly chaotic human element inherent in these systems and support policymakers in making informed decKlons about the future. We propose altering the policy development process by incorporating more modeling, simulation and analysis to bring about a revolution in policy making that takes advantage of the revolution in engineering emerging from simulation and modeling. While we recommend major research efforts to address each of these problems, we also observe these to be very complex, highly interdependent, multi

  9. Getting Australia more active: challenges and opportunities for health promotion.

    Science.gov (United States)

    Hills, A P; Street, S J; Harris, N

    2014-04-01

    A growing body of evidence demonstrates that regular physical activity promotes health and assists in the prevention of non-communicable diseases but this is presently curtailed by low and unhealthy participation rates in Australia and comparable industrialised countries. Compounding the problem is knowledge that physical inactivity is independently associated with poor health outcomes. Despite physical activity being described as public health's 'best bet' or 'best buy', motivating individuals and groups to adopt and maintain physical activity continues to be a major challenge for health professionals. Global advocacy for prevention efforts must be operationalised through national to local strategies to promote and support physical activity in multiple settings including the home, schools and workplace. The Australian health promotion community has and continues to play a leadership role in physical activity promotion. However, there is an urgent need to continue to promote the importance of physical activity, along with its pivotal role in the prevention of non-communicable diseases, alongside related agendas including healthy diets, tobacco control and environmental sustainability. This commentary overviews the contemporary status of physical activity promotion in Australia and identifies key challenges and opportunities moving forward.

  10. United States-Mexican Borderlands: Facing tomorrow's challenges through USGS science

    Science.gov (United States)

    Updike, Randall G.; Ellis, Eugene G.; Page, William R.; Parker, Melanie J.; Hestbeck, Jay B.; Horak, William F.

    2013-01-01

    Along the nearly 3,200 kilometers (almost 2,000 miles) of the United States–Mexican border, in an area known as the Borderlands, we are witnessing the expression of the challenges of the 21st century. This circular identifies several challenge themes and issues associated with life and the environment in the Borderlands, listed below. The challenges are not one-sided; they do not originate in one country only to become problems for the other. The issues and concerns of each challenge theme flow in both directions across the border, and both nations feel their effects throughout the Borderlands and beyond. The clear message is that our two nations, the United States and Mexico, face the issues in these challenge themes together, and the U.S. Geological Survey (USGS) understands it must work with its counterparts, partners, and customers in both countries.Though the mission of the USGS is not to serve as land manager, law enforcer, or code regulator, its innovation and creativity and the scientific and technical depth of its capabilities can be directly applied to monitoring the conditions of the landscape. The ability of USGS scientists to critically analyze the monitored data in search of signals and trends, whether they lead to negative or positive results, allows us to reach significant conclusions—from providing factual conclusions to decisionmakers, to estimating how much of a natural resource exists in a particular locale, to predicting how a natural hazard phenomenon will unfold, to forecasting on a scale from hours to millennia how ecosystems will behave.None of these challenge themes can be addressed strictly by one or two science disciplines; all require well-integrated, cross-discipline thinking, data collection, and analyses. The multidisciplinary science themes that have become the focus of the USGS mission parallel the major challenges in the border region between Mexico and the United States. Because of this multidisciplinary approach, the USGS

  11. International Year of Planet Earth - Accomplishments, Activities, Challenges and Plans in Mexico

    Science.gov (United States)

    Fucugauchi, J. U.; Perez-Cruz, L. L.; Alaniz-Alvarez, S.

    2009-12-01

    The International Year of Planet Earth started as a joint initiative by UNESCO and IUGS with the participation of several geosciences organizations, and developed into a major international geosciences program for the triennium 2007-2009, with the inclusion and participation of national and regional committees. In this presentation we focus on current activities and plans in our country and the participation in international activities. Mexican community has been part of international programs since the International Geophysical Year, continuing through its participation in other programs, e.g., Upper Mantle, Geodynamics, Lithosphere, IHY, IPY and eGY. IYPE activities have concentrated in publications, OneGeology, radio/TV programs, organization of conferences, meetings and outreach events. A book series on Earth Science Experiments for Children has been edited, with first books published on “Atmospheric Pressure and Free Fall of Objects”, “Light and Colors”, “Standing on Archimedes”, “Foucault and Climate” and “Earth and its Waves “. Books are distributed to schools, with tens of thousand copies distributed nationwide and new editions underway. Other publications include leaflets, books and special El Faro issues (edited by the National University) and articles in other journals. In 2007 the AGU Joint Assembly with international participation from US, Canada, Europe and Latin America was held in Acapulco. Current plans include an electronic open-access journal, additional publications of the Planet Earth series, articles and special issues in journals and magazines, plus events on selected themes from the IYPE science program, particularly on Megacities, Hazards, Resources and Biodiversity. Mexico City metropolitan area, with > 22 million inhabitants presents special challenges, being at high altitude within an active tectonic and volcanic area requiring major efforts in water supply, water control, rains and waste disposal and management

  12. Telecommunications, politics, economics, and national sovereignty: A new game

    Energy Technology Data Exchange (ETDEWEB)

    Bugliarello, G.

    1996-12-31

    The impact of telecommunications on politics, economics and national sovereignty is creating a new game. Political and economic power may operate over the same territory, as in the now-rare case of isolated economies, but, more often, their domains do not coincide. Increasingly, telecommunications create major challenges for countries preoccupied with issues of national sovereignty because the national state has only a limited ability to control these intrinsic and at times potentially destabilizing powers of telecommunications and the {open_quotes}telecommunities{close_quotes} they make possible. As many traditional aspects of sovereignty are becoming weakened by telecommunications, and as the intense dynamics of networks and the expansion of telecommunities revolutionize business and politics, there is a need to prevent the situation from becoming chaotic and uncontrollable, even while recognizing the possibilities of enhanced opportunities. This requires focusing on a more flexible conception of sovereignty which can enhance the state`s attractiveness for telecommunications infrastructure, while addressing issues of ethics and morality in the new telecommications environment. A new, broad socio-technological research agenda needs to be developed - with the ultimate purpose of providing society with the tools to play the new game and thrive. 10 refs., 3 tabs.

  13. Online Learning: Addressing Challenges and Seizing Opportunities. South Dakota

    Science.gov (United States)

    Alliance for Excellent Education, 2010

    2010-01-01

    America's K-12 education system faces three significant challenges: (1) increased global demands for skilled workers, (2) significant financial shortfalls, and (3) a looming teacher shortage. Independently, these factors present significant challenges for U.S. schools. In combination, they create a national imperative for swift action to create a…

  14. Online Learning: Addressing Challenges and Seizing Opportunities. North Dakota

    Science.gov (United States)

    Alliance for Excellent Education, 2010

    2010-01-01

    America's K-12 education system faces three significant challenges: (1) increased global demands for skilled workers, (2) significant financial shortfalls, and (3) a looming teacher shortage. Independently, these factors present significant challenges for U.S. schools. In combination, they create a national imperative for swift action to create a…

  15. The Politico-Economic Challenges of Ghana’s National Health Insurance Scheme Implementation

    OpenAIRE

    Adam Fusheini

    2016-01-01

    Background National/social health insurance schemes have increasingly been seen in many low- and middle-income countries (LMICs) as a vehicle to universal health coverage (UHC) and a viable alternative funding mechanism for the health sector. Several countries, including Ghana, have thus introduced and implemented mandatory national health insurance schemes (NHIS) as part of reform efforts towards increasing access to health services. Ghana passed mandatory national health insurance (NHI)...

  16. Multisectoral Actions for Health: Challenges and Opportunities in Complex Policy Environments.

    Science.gov (United States)

    Tangcharoensathien, Viroj; Srisookwatana, Orapan; Pinprateep, Poldej; Posayanonda, Tipicha; Patcharanarumol, Walaiporn

    2017-05-16

    Multisectoral actions for health, defined as actions undertaken by non-health sectors to protect the health of the population, are essential in the context of inter-linkages between three dimensions of sustainable development: economic, social, and environmental. These multisectoral actions can address the social and economic factors that influence the health of a population at the local, national, and global levels. This editorial identifies the challenges, opportunities and capacity development for effective multisectoral actions for health in a complex policy environment. The root causes of the challenges lie in poor governance such as entrenched political and administrative corruption, widespread clientelism, lack of citizen voice, weak social capital, lack of trust and lack of respect for human rights. This is further complicated by the lack of government effectiveness caused by poor capacity for strong public financial management and low levels of transparency and accountability which leads to corruption. The absence of or rapid changes in government policies, and low salary in relation to living standards result in migration out of qualified staff. Tobacco, alcohol and sugary drink industries are major risk factors for non-communicable diseases (NCDs) and had interfered with health policy through regulatory capture and potential law suits against the government. Opportunities still exist. Some World Health Assembly (WHA) and United Nations General Assembly (UNGA) resolutions are both considered as external driving forces for intersectoral actions for health. In addition, Thailand National Health Assembly under the National Health Act is another tool providing opportunity to form trust among stakeholders from different sectors. Capacity development at individual, institutional and system level to generate evidence and ensure it is used by multisectoral agencies is as critical as strengthening the health literacy of people and the overall good governance of a

  17. The Grand Challenges of Organ Banking: Proceedings from the first global summit on complex tissue cryopreservation.

    Science.gov (United States)

    Lewis, Jedediah K; Bischof, John C; Braslavsky, Ido; Brockbank, Kelvin G M; Fahy, Gregory M; Fuller, Barry J; Rabin, Yoed; Tocchio, Alessandro; Woods, Erik J; Wowk, Brian G; Acker, Jason P; Giwa, Sebastian

    2016-04-01

    The first Organ Banking Summit was convened from Feb. 27 - March 1, 2015 in Palo Alto, CA, with events at Stanford University, NASA Research Park, and Lawrence Berkeley National Labs. Experts at the summit outlined the potential public health impact of organ banking, discussed the major remaining scientific challenges that need to be overcome in order to bank organs, and identified key opportunities to accelerate progress toward this goal. Many areas of public health could be revolutionized by the banking of organs and other complex tissues, including transplantation, oncofertility, tissue engineering, trauma medicine and emergency preparedness, basic biomedical research and drug discovery - and even space travel. Key remaining scientific sub-challenges were discussed including ice nucleation and growth, cryoprotectant and osmotic toxicities, chilling injury, thermo-mechanical stress, the need for rapid and uniform rewarming, and ischemia/reperfusion injury. A variety of opportunities to overcome these challenge areas were discussed, i.e. preconditioning for enhanced stress tolerance, nanoparticle rewarming, cyroprotectant screening strategies, and the use of cryoprotectant cocktails including ice binding agents. Copyright © 2015.

  18. Optimizing transuranic waste management-challenges and opportunities

    International Nuclear Information System (INIS)

    Triay, I.R.; Wu, C.F.; Moody, D.C.; Jennings, S.G.

    2002-01-01

    The opening of the Waste Isolation Pilot Plant (WIPP) for disposal of transuranic (TRU) waste in March of 1999, the granting of the Hazardous Waste Facility Permit in November 1999, and over two years of operational experience have demonstrated the Department of Energy's (DOE'S) capability in closing the nuclear energy cycle. While these achievements resolved several scientific, engineering, regulatory and political issues, the DOE has identified a new set of challenges that represent opportunities for improving programmatic efficiency, cost-effectiveness, and operational safety in managing the nation's TRU waste. The DOE has recognized that the complex administrative and regulatory requirements for characterization, transportation and disposal of TRU waste are costly (1). A review by the National Academy of Sciences (NAS) states that these requirements lead to inefficient waste characterization, handling and transportation operations that in turn can lead to unnecessary radiation exposure to workers without a commensurate decrease in risk to the public and the environment (2). This paper provides an overview of the status of the WJPP repository, explains the principles of the proposed commercial business approach, and describes some of the proposed major enhancements of the TRU waste transportation systems. The DOE is developing a remote-handled (RH) waste program to enable emplacement of RH waste at WPP. This program includes appropriate facility modifications and regulatory changes (3).

  19. The sustainability challenge of meeting carbon dioxide targets in Europe by 2020

    International Nuclear Information System (INIS)

    Saikku, Laura; Rautiainen, Aapo; Kauppi, Pekka E.

    2008-01-01

    Following the Kyoto Protocol, the European Union obligated itself to lower its greenhouse gas (GHG) emissions 20% below their 1990 level, by the year 2020. Carbon dioxide is the major GHG. To fulfil this obligation, the nations must meet the sustainability challenge of countering rising population plus affluence with the dematerialization of less energy per GDP plus the decarbonization of less carbon per energy. To test the feasibility of meeting the challenge, we analysed carbon dioxide emission during 1993-2004. Although emissions in the entire Union grew only by an average of 0.31% per year, emissions and their drivers varied markedly among the 27 member states. Dematerialization and decarbonization did occur, but not enough to offset the slight population growth plus rapidly increasing affluence. To fulfil its obligation in the next 12 years, the EU27 would have to counter its increasing population and affluence by a combined dematerialization and decarbonization 1.9-2.6 times faster than during 1993-2004. Hence, fulfilling its obligation by addressing fossil carbon emissions alone is very unlikely. (author)

  20. The sustainability challenge of meeting carbon dioxide targets in Europe by 2020

    Energy Technology Data Exchange (ETDEWEB)

    Saikku, Laura; Rautiainen, Aapo; Kauppi, Pekka E. [Department of Biological and Environmental Sciences, University of Helsinki, P.O. Box 27, FIN-00014 Helsinki (Finland)

    2008-02-15

    Following the Kyoto Protocol, the European Union obligated itself to lower its greenhouse gas (GHG) emissions 20% below their 1990 level, by the year 2020. Carbon dioxide is the major GHG. To fulfil this obligation, the nations must meet the sustainability challenge of countering rising population plus affluence with the dematerialization of less energy per GDP plus the decarbonization of less carbon per energy. To test the feasibility of meeting the challenge, we analysed carbon dioxide emission during 1993-2004. Although emissions in the entire Union grew only by an average of 0.31% per year, emissions and their drivers varied markedly among the 27 member states. Dematerialization and decarbonization did occur, but not enough to offset the slight population growth plus rapidly increasing affluence. To fulfil its obligation in the next 12 years, the EU27 would have to counter its increasing population and affluence by a combined dematerialization and decarbonization 1.9-2.6 times faster than during 1993-2004. Hence, fulfilling its obligation by addressing fossil carbon emissions alone is very unlikely. (author)

  1. Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges

    Science.gov (United States)

    Kwete, Dieudonné; Binanga, Arsene; Mukaba, Thibaut; Nemuandjare, Théophile; Mbadu, Muanda Fidele; Kyungu, Marie-Thérèse; Sutton, Perri; Bertrand, Jane T

    2018-01-01

    Momentum for family planning in the Democratic Republic of the Congo (DRC) is evident in multiple ways: strong political will, increasing donor support, a growing number of implementing organizations, innovative family planning programming, and a cohesive family planning stakeholder group. Between 2013 and 2017, the modern contraceptive prevalence rate (mCPR) in the capital city of Kinshasa increased from 18.5% to 26.7% among married women, but as of 2013–14, it was only 7.8% at the national level. The National Multisectoral Strategic Plan for Family Planning: 2014–2020 calls for achieving an mCPR of 19.0% by 2020, an ambitious goal in light of formidable challenges to family planning in the DRC. Of the 16,465 health facilities reporting to the national health information system in 2017, only 40% offer family planning services. Key challenges include uncertainty over the political situation, difficulties of ensuring access to family planning services in a vast country with a weak transportation infrastructure, funding shortfalls for procuring adequate quantities of contraceptives, weak contraceptive logistics and supply chain management, strong cultural norms that favor large families, and low capacity of the population to pay for contraceptive services. This article describes promising initiatives designed to address these barriers, consistent with the World Health Organization's framework for health systems strengthening. For example, the national family planning coordinating mechanism is being replicated at the provincial level to oversee the expansion of family planning service delivery. Promising initiatives are being implemented to improve the supply and quality of services and generate demand for family planning, including social marketing of subsidized contraceptives at both traditional and non-traditional channels and strengthening of services in military health facilities. To expand contraceptive access, family planning is being institutionalized in

  2. Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges.

    Science.gov (United States)

    Kwete, Dieudonné; Binanga, Arsene; Mukaba, Thibaut; Nemuandjare, Théophile; Mbadu, Muanda Fidele; Kyungu, Marie-Thérèse; Sutton, Perri; Bertrand, Jane T

    2018-03-21

    Momentum for family planning in the Democratic Republic of the Congo (DRC) is evident in multiple ways: strong political will, increasing donor support, a growing number of implementing organizations, innovative family planning programming, and a cohesive family planning stakeholder group. Between 2013 and 2017, the modern contraceptive prevalence rate (mCPR) in the capital city of Kinshasa increased from 18.5% to 26.7% among married women, but as of 2013-14, it was only 7.8% at the national level. The National Multisectoral Strategic Plan for Family Planning: 2014-2020 calls for achieving an mCPR of 19.0% by 2020, an ambitious goal in light of formidable challenges to family planning in the DRC. Of the 16,465 health facilities reporting to the national health information system in 2017, only 40% offer family planning services. Key challenges include uncertainty over the political situation, difficulties of ensuring access to family planning services in a vast country with a weak transportation infrastructure, funding shortfalls for procuring adequate quantities of contraceptives, weak contraceptive logistics and supply chain management, strong cultural norms that favor large families, and low capacity of the population to pay for contraceptive services. This article describes promising initiatives designed to address these barriers, consistent with the World Health Organization's framework for health systems strengthening. For example, the national family planning coordinating mechanism is being replicated at the provincial level to oversee the expansion of family planning service delivery. Promising initiatives are being implemented to improve the supply and quality of services and generate demand for family planning, including social marketing of subsidized contraceptives at both traditional and non-traditional channels and strengthening of services in military health facilities. To expand contraceptive access, family planning is being institutionalized in

  3. EM-21 Retrieval Knowledge Center: Waste Retrieval Challenges

    Energy Technology Data Exchange (ETDEWEB)

    Fellinger, Andrew P.; Rinker, Michael W.; Berglin, Eric J.; Minichan, Richard L.; Poirier, Micheal R.; Gauglitz, Phillip A.; Martin, Bruce A.; Hatchell, Brian K.; Saldivar, Eloy; Mullen, O Dennis; Chapman, Noel F.; Wells, Beric E.; Gibbons, Peter W.

    2009-04-10

    EM-21 is the Waste Processing Division of the Office of Engineering and Technology, within the U.S. Department of Energy’s (DOE) Office of Environmental Management (EM). In August of 2008, EM-21 began an initiative to develop a Retrieval Knowledge Center (RKC) to provide the DOE, high level waste retrieval operators, and technology developers with centralized and focused location to share knowledge and expertise that will be used to address retrieval challenges across the DOE complex. The RKC is also designed to facilitate information sharing across the DOE Waste Site Complex through workshops, and a searchable database of waste retrieval technology information. The database may be used to research effective technology approaches for specific retrieval tasks and to take advantage of the lessons learned from previous operations. It is also expected to be effective for remaining current with state-of-the-art of retrieval technologies and ongoing development within the DOE Complex. To encourage collaboration of DOE sites with waste retrieval issues, the RKC team is co-led by the Savannah River National Laboratory (SRNL) and the Pacific Northwest National Laboratory (PNNL). Two RKC workshops were held in the Fall of 2008. The purpose of these workshops was to define top level waste retrieval functional areas, exchange lessons learned, and develop a path forward to support a strategic business plan focused on technology needs for retrieval. The primary participants involved in these workshops included retrieval personnel and laboratory staff that are associated with Hanford and Savannah River Sites since the majority of remaining DOE waste tanks are located at these sites. This report summarizes and documents the results of the initial RKC workshops. Technology challenges identified from these workshops and presented here are expected to be a key component to defining future RKC-directed tasks designed to facilitate tank waste retrieval solutions.

  4. EM-21 Retrieval Knowledge Center: Waste Retrieval Challenges

    International Nuclear Information System (INIS)

    Fellinger, Andrew P.; Rinker, Michael W.; Berglin, Eric J.; Minichan, Richard L.; Poirier, Micheal R.; Gauglitz, Phillip A.; Martin, Bruce A.; Hatchell, Brian K.; Saldivar, Eloy; Mullen, O Dennis; Chapman, Noel F.; Wells, Beric E.; Gibbons, Peter W.

    2009-01-01

    EM-21 is the Waste Processing Division of the Office of Engineering and Technology, within the U.S. Department of Energy's (DOE) Office of Environmental Management (EM). In August of 2008, EM-21 began an initiative to develop a Retrieval Knowledge Center (RKC) to provide the DOE, high level waste retrieval operators, and technology developers with centralized and focused location to share knowledge and expertise that will be used to address retrieval challenges across the DOE complex. The RKC is also designed to facilitate information sharing across the DOE Waste Site Complex through workshops, and a searchable database of waste retrieval technology information. The database may be used to research effective technology approaches for specific retrieval tasks and to take advantage of the lessons learned from previous operations. It is also expected to be effective for remaining current with state-of-the-art of retrieval technologies and ongoing development within the DOE Complex. To encourage collaboration of DOE sites with waste retrieval issues, the RKC team is co-led by the Savannah River National Laboratory (SRNL) and the Pacific Northwest National Laboratory (PNNL). Two RKC workshops were held in the Fall of 2008. The purpose of these workshops was to define top level waste retrieval functional areas, exchange lessons learned, and develop a path forward to support a strategic business plan focused on technology needs for retrieval. The primary participants involved in these workshops included retrieval personnel and laboratory staff that are associated with Hanford and Savannah River Sites since the majority of remaining DOE waste tanks are located at these sites. This report summarizes and documents the results of the initial RKC workshops. Technology challenges identified from these workshops and presented here are expected to be a key component to defining future RKC-directed tasks designed to facilitate tank waste retrieval solutions

  5. Implementation of the Integrated Management of Childhood Illnesses strategy: challenges and recommendations in Botswana.

    Science.gov (United States)

    Mupara, Lucia U; Lubbe, Johanna C

    2016-01-01

    Under-five mortality has been a major public health challenge from time immemorial. In response to this challenge, the World Health Organization and the United Nations Children's Fund developed the Integrated Management of Childhood Illnesses (IMCI) strategy and presented it to the whole world as a key approach to reduce child morbidity and mortality. Botswana started to implement the IMCI strategy in 1998. Reductions in the under-five mortality rate (U5MR) have been documented, although the reduction is not on par with the expected Millennium Development Goal 4 predictions. A quantitative study was done to identify the problems IMCI implementers face when tending children under 5 years in the Gaborone Health District of Botswana. The study population was made up of all the IMCI-trained and registered nurses, and systematic sampling was used to randomly select study participants. Questionnaires were used to collect data. The study findings indicated challenges related to low training coverage, health systems, and the unique features of the IMCI strategy. The comprehensive implementation of the IMCI strategy has the potential to significantly influence the U5MR in Botswana.

  6. Implementation of the Integrated Management of Childhood Illnesses strategy: challenges and recommendations in Botswana

    Directory of Open Access Journals (Sweden)

    Lucia U. Mupara

    2016-02-01

    Full Text Available Background: Under-five mortality has been a major public health challenge from time immemorial. In response to this challenge, the World Health Organization and the United Nations Children's Fund developed the Integrated Management of Childhood Illnesses (IMCI strategy and presented it to the whole world as a key approach to reduce child morbidity and mortality. Botswana started to implement the IMCI strategy in 1998. Reductions in the under-five mortality rate (U5MR have been documented, although the reduction is not on par with the expected Millennium Development Goal 4 predictions. Design: A quantitative study was done to identify the problems IMCI implementers face when tending children under 5 years in the Gaborone Health District of Botswana. The study population was made up of all the IMCI-trained and registered nurses, and systematic sampling was used to randomly select study participants. Questionnaires were used to collect data. Results: The study findings indicated challenges related to low training coverage, health systems, and the unique features of the IMCI strategy. Conclusions: The comprehensive implementation of the IMCI strategy has the potential to significantly influence the U5MR in Botswana.

  7. Differentiation of Ecuadorian National and CCN-51 cocoa beans and their mixtures by computer vision.

    Science.gov (United States)

    Jimenez, Juan C; Amores, Freddy M; Solórzano, Eddyn G; Rodríguez, Gladys A; La Mantia, Alessandro; Blasi, Paolo; Loor, Rey G

    2018-05-01

    Ecuador exports two major types of cocoa beans, the highly regarded and lucrative National, known for its fine aroma, and the CCN-51 clone type, used in bulk for mass chocolate products. In order to discourage exportation of National cocoa adulterated with CCN-51, a fast and objective methodology for distinguishing between the two types of cocoa beans is needed. This study reports a methodology based on computer vision, which makes it possible to recognize these beans and determine the percentage of their mixture. The methodology was challenged with 336 samples of National cocoa and 127 of CCN-51. By excluding the samples with a low fermentation level and white beans, the model discriminated with a precision higher than 98%. The model was also able to identify and quantify adulterations in 75 export batches of National cocoa and separate out poorly fermented beans. A scientifically reliable methodology able to discriminate between Ecuadorian National and CCN-51 cocoa beans and their mixtures was successfully developed. © 2017 Society of Chemical Industry. © 2017 Society of Chemical Industry.

  8. A survey of national and multi-national registries and cohort studies in juvenile idiopathic arthritis: Challenges and opportunities

    NARCIS (Netherlands)

    Beukelman, T. (Timothy); J. Anink (Janneke); Berntson, L. (Lillemor); Duffy, C. (Ciaran); J.A. Ellis; Glerup, M. (Mia); Guzman, J. (Jaime); G. Horneff (Gerd); Kearsley-Fleet, L. (Lianne); Klein, A. (Ariane); Klotsche, J. (Jens); Magnusson, B. (Bo); K. Minden (Kirsten); Munro, J.E. (Jane E.); Niewerth, M. (Martina); Nordal, E. (Ellen); N. Ruperto (Nicolino); Santos, M.J. (Maria Jose); Schanberg, L.E. (Laura E.); W. Thomson (Wendy); L.W.A. van Suijlekom-Smit (Lisette); N.M. Wulffraat (Nico); Hyrich, K. (Kimme)

    2017-01-01

    textabstractBackground: To characterize the existing national and multi-national registries and cohort studies in juvenile idiopathic arthritis (JIA) and identify differences as well as areas of potential future collaboration. Methods: We surveyed investigators from North America, Europe, and

  9. The Adverse Drug Reactions from Patient Reports in Social Media Project: Five Major Challenges to Overcome to Operationalize Analysis and Efficiently Support Pharmacovigilance Process.

    Science.gov (United States)

    Bousquet, Cedric; Dahamna, Badisse; Guillemin-Lanne, Sylvie; Darmoni, Stefan J; Faviez, Carole; Huot, Charles; Katsahian, Sandrine; Leroux, Vincent; Pereira, Suzanne; Richard, Christophe; Schück, Stéphane; Souvignet, Julien; Lillo-Le Louët, Agnès; Texier, Nathalie

    2017-09-21

    Adverse drug reactions (ADRs) are an important cause of morbidity and mortality. Classical Pharmacovigilance process is limited by underreporting which justifies the current interest in new knowledge sources such as social media. The Adverse Drug Reactions from Patient Reports in Social Media (ADR-PRISM) project aims to extract ADRs reported by patients in these media. We identified 5 major challenges to overcome to operationalize the analysis of patient posts: (1) variable quality of information on social media, (2) guarantee of data privacy, (3) response to pharmacovigilance expert expectations, (4) identification of relevant information within Web pages, and (5) robust and evolutive architecture. This article aims to describe the current state of advancement of the ADR-PRISM project by focusing on the solutions we have chosen to address these 5 major challenges. In this article, we propose methods and describe the advancement of this project on several aspects: (1) a quality driven approach for selecting relevant social media for the extraction of knowledge on potential ADRs, (2) an assessment of ethical issues and French regulation for the analysis of data on social media, (3) an analysis of pharmacovigilance expert requirements when reviewing patient posts on the Internet, (4) an extraction method based on natural language processing, pattern based matching, and selection of relevant medical concepts in reference terminologies, and (5) specifications of a component-based architecture for the monitoring system. Considering the 5 major challenges, we (1) selected a set of 21 validated criteria for selecting social media to support the extraction of potential ADRs, (2) proposed solutions to guarantee data privacy of patients posting on Internet, (3) took into account pharmacovigilance expert requirements with use case diagrams and scenarios, (4) built domain-specific knowledge resources embeding a lexicon, morphological rules, context rules, semantic rules

  10. Paediatric challenges in Sub-Saharan Africa

    OpenAIRE

    Robert Hilliard

    2016-01-01

    The United Nations Millennium Development Goals (MDGs) project is coming to an end in 2015 and is being replaced by ambitious and aspirational Sustainable Development Goals (SDGs). Although the MDGs have been nearly achieved, this is not true in Sub-Saharan Africa where there is still unnecessarily high infant and childhood mortality and where there are many challenges to providing modern child health care. To achieve the SDGs in the next fifteen years, in low-income countries, national minis...

  11. The major contributions of the worldwide gas congress CMG 2000

    International Nuclear Information System (INIS)

    Moncel, V.

    2000-01-01

    The six major contributions which took place all along the 2000 issue of the worldwide gas congress have permitted to draw out a precise status of the international opportunities and challenges that natural gas industry will have to face in order to make natural gas the first energy source of the 21 century. Despite the different national contexts, all intervening parties agreed with the undeniable stakes of natural gas which will have a promising development provided that deregulation effects are mastered and investments are maintained in new technologies R and D and in the settlement of reliable international infrastructures. This article summarizes the main content of these contributions: Gaz de France group in the new European context: opportunities and strategies of a big operator; gas industry in the US: perspectives for the millennium; leading elements of the gas industry in Europe: liberalization, regulation and technology; structural transformations of the international gas industry and its strategies: towards a worldwide gas market; the future of gas industry in Russia in the 21 century; perspectives for natural gas in Asia. (J.S.)

  12. A survey of national and multi-national registries and cohort studies in juvenile idiopathic arthritis : challenges and opportunities

    NARCIS (Netherlands)

    Beukelman, Timothy; Anink, Janneke; Berntson, Lillemor; Duffy, Ciaran; Ellis, Justine A; Glerup, Mia; Guzman, Jaime; Horneff, Gerd; Kearsley-Fleet, Lianne; Klein, Ariane; Klotsche, Jens; Magnusson, Bo; Minden, Kirsten; Munro, Jane E; Niewerth, Martina; Nordal, Ellen; Ruperto, Nicolino; Santos, Maria Jose; Schanberg, Laura E; Thomson, Wendy; van Suijlekom-Smit, Lisette; Wulffraat, Nico; Hyrich, Kimme

    2017-01-01

    BACKGROUND: To characterize the existing national and multi-national registries and cohort studies in juvenile idiopathic arthritis (JIA) and identify differences as well as areas of potential future collaboration. METHODS: We surveyed investigators from North America, Europe, and Australia about

  13. The challenges of preventive diplomacy: The United Nations' post ...

    African Journals Online (AJOL)

    In Africa, however, where international borders are porous and state organs are sometimes not in .... the media, and information dissemination form part of the options available to the United .... National boundaries are blurred by ..... and arrangements for the free flow of information, including the monitoring of regional arms ...

  14. Inpatient Profile of Patients with Major Depression in Portuguese National Health System Hospitals, in 2008 and 2013: Variation in a Time of Economic Crisis.

    Science.gov (United States)

    Rodrigues, Daniel Francisco Santos; Nunes, Carla

    2018-02-01

    The economic crisis has placed Portugal in a situation of budgetary constraints with repercussions on mental health, since 2009. This study analyses the association between economic crisis and the inpatient profile of major depression in the working-age population in Portuguese National Health System hospitals. This was an observational, descriptive and cross-sectional study. An individual analysis of hospitalisation and an ecological analysis at district level, were performed before 2008 and during the crisis (2013). Data on the hospitalisation episodes, working-age population and psychiatric inpatient beds were analysed. An increase in hospitalisation rates for major depression were observed, and across country, high spatial variations were perceived: districts with lower rates of urbanisation and population density had higher hospitalisation rates for major depression. Hospitalisation rates were positively influenced by the available inpatient beds. The results for 2013 were more critical (higher hospitalisation rates, less beds). Further research is needed to understand all patterns, considering other individual and contextual information.

  15. Mechanisms blocking the dynamics of the European offshore wind energy innovation system – Challenges for policy intervention

    International Nuclear Information System (INIS)

    Jacobsson, Staffan; Karltorp, Kersti

    2013-01-01

    Decarbonizing electricity production in the EU may necessitate building new “low-carbon” capacity (excluding nuclear investments) to deliver 3500 TWh by 2050. Offshore wind power has the potential to contribute substantially to fill this gap. Realizing this potential is, however, difficult since deployment offshore does not constitute a simple diversification by the onshore wind turbine industry to a new segment. This paper identifies factors obstructing the development of the northern European innovation system centered on offshore wind power, specifies a set of associated policy challenges and discusses various policy responses. - Highlights: • Offshore wind power has a strategic role in decarbonizing EU's supply of electricity. • There are numerous obstacles to deployment of offshore wind turbines. • We specify seven major policy challenges in diverse policy domains. • Managing these requires coordination of interventions across policy domains and national boundaries

  16. Materials @ LANL: Solutions for National Security Challenges

    Science.gov (United States)

    Teter, David

    2012-10-01

    Materials science activities impact many programmatic missions at LANL including nuclear weapons, nuclear energy, renewable energy, global security and nonproliferation. An overview of the LANL materials science strategy and examples of materials science programs will be presented. Major materials leadership areas are in materials dynamics, actinides and correlated electron materials, materials in radiation extremes, energetic materials, integrated nanomaterials and complex functional materials. Los Alamos is also planning a large-scale, signature science facility called MaRIE (Matter Radiation Interactions in Extremes) to address in-situ characterization of materials in dynamic and radiation environments using multiple high energy probes. An overview of this facility will also be presented.

  17. Biological age as a health index for mortality and major age-related disease incidence in Koreans: National Health Insurance Service – Health screening 11-year follow-up study

    Directory of Open Access Journals (Sweden)

    Kang YG

    2018-03-01

    Full Text Available Young Gon Kang,1 Eunkyung Suh,2 Jae-woo Lee,3 Dong Wook Kim,4 Kyung Hee Cho,5 Chul-Young Bae1 1Department of R&D, MediAge Research Center, Seongnam, Republic of South Korea; 2Department of Family Medicine, College of Medicine, CHA University, Chaum, Seoul, Republic of South Korea; 3Department of Family Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of South Korea; 4Department of Policy Research Affairs, National Health Insurance Service Ilsan Hospital, Goyang, Republic of South Korea; 5Department of Family Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of South KoreaPurpose: A comprehensive health index is needed to measure an individual’s overall health and aging status and predict the risk of death and age-related disease incidence, and evaluate the effect of a health management program. The purpose of this study is to demonstrate the validity of estimated biological age (BA in relation to all-cause mortality and age-related disease incidence based on National Sample Cohort database.Patients and methods: This study was based on National Sample Cohort database of the National Health Insurance Service – Eligibility database and the National Health Insurance Service – Medical and Health Examination database of the year 2002 through 2013. BA model was developed based on the National Health Insurance Service – National Sample Cohort (NHIS – NSC database and Cox proportional hazard analysis was done for mortality and major age-related disease incidence.Results: For every 1 year increase of the calculated BA and chronological age difference, the hazard ratio for mortality significantly increased by 1.6% (1.5% in men and 2.0% in women and also for hypertension, diabetes mellitus, heart disease, stroke, and cancer incidence by 2.5%, 4.2%, 1.3%, 1.6%, and 0.4%, respectively (p<0.001.Conclusion: Estimated BA by the developed BA model based on NHIS – NSC database is expected to be

  18. Making rural and remote communities more age-friendly: experts' perspectives on issues, challenges, and priorities.

    Science.gov (United States)

    Menec, Verena; Bell, Sheri; Novek, Sheila; Minnigaleeva, Gulnara A; Morales, Ernesto; Ouma, Titus; Parodi, Jose F; Winterton, Rachel

    2015-01-01

    With the growing interest worldwide in making communities more age-friendly, it is becoming increasingly important to understand the factors that help or hinder communities in attaining this goal. In this article, we focus on rural and remote communities and present perspectives of 42 experts in the areas of aging, rural and remote issues, and policy who participated in a consensus conference on age-friendly rural and remote communities. Discussions highlighted that strengths in rural and remote communities, such as easy access to local leaders and existing partnerships, can help to further age-friendly goals; however, addressing major challenges, such as lack of infrastructure and limited availability of social and health services, requires regional or national government buy-in and funding opportunities. Age-friendly work in rural and remote communities is, therefore, ideally embedded in larger age-friendly initiatives and supported by regional or national policies, programs, and funding sources.

  19. Urban solid waste management in Chongqing: Challenges and opportunities

    International Nuclear Information System (INIS)

    Yuan Hui; Wang Li'ao; Su Fenwei; Hu Gang

    2006-01-01

    The dual influences of the resource supply and protection in ecological environments will pose a significant challenge to China's sustainable development. Solid waste management offers opportunities to improve profits by conserving resources and improving environmental performance. This paper examines municipal solid waste (MSW) management in urban Chongqing, the nation's fourth largest municipality after Beijing, Shanghai and Tianjin. In this paper, we will provide information on the quantity and composition of MSW, as well as give an overview of different methods for collection, transport, treatment and disposal of MSW. At present the daily amount of MSW generated per person is about 1.08 kg; food waste accounts for about 59% of total MSW. MSW in Chongqing has a higher moisture content (64.1%) and a lower LHV (3728 kJ/kg) than other cities in Asia, which is an obstruction for incineration. Landfills are the main method of disposal in Chongqing, but pollution caused by simple landfills and lack of backup MSW disposal capacity are becoming major problems in the main districts of Chongqing. In this paper, the challenges being faced and opportunities to MSW in Chongqing are analyzed and some suggestions are given for improving the MSW system in the future

  20. The Australian stock market development: Prospects and challenges

    Directory of Open Access Journals (Sweden)

    Sheilla Nyasha

    2013-06-01

    Full Text Available This paper highlights the origin and development of the Australian stock market. The country has three major stock exchanges, namely: the Australian Securities Exchange Group, the National Stock Exchange of Australia, and the Asia-Pacific Stock Exchange. These stock exchanges were born out of a string of stock exchanges that merged over time. Stock-market reforms have been implemented since the period of deregulation, during the 1980s; and the Exchanges responded largely positively to these reforms. As a result of the reforms, the Australian stock market has developed in terms of the number of listed companies, the market capitalisation, the total value of stocks traded, and the turnover ratio. Although the stock market in Australia has developed remarkably over the years, and was spared by the global financial crisis of the late 2000s, it still faces some challenges. These include the increased economic uncertainty overseas, the downtrend in global financial markets, and the restrained consumer confidence in Australia.

  1. Technology Empowerment: Security Challenges.

    Energy Technology Data Exchange (ETDEWEB)

    Warren, Drake Edward [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Backus, George A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Jones, Wendell [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Nelson, Thomas R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Skocypec, Russell D. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-03-01

    “Technology empowerment” means that innovation is increasingly accessible to ordinary people of limited means. As powerful technologies become more affordable and accessible, and as people are increasingly connected around the world, ordinary people are empowered to participate in the process of innovation and share the fruits of collaborative innovation. This annotated briefing describes technology empowerment and focuses on how empowerment may create challenges to U.S. national security. U.S. defense research as a share of global innovation has dwindled in recent years. With technology empowerment, the role of U.S. defense research is likely to shrink even further while technology empowerment will continue to increase the speed of innovation. To avoid falling too far behind potential technology threats to U.S. national security, U.S. national security institutions will need to adopt many of the tools of technology empowerment.

  2. Citizenship education, national identity and political trust: The case of Sweden

    OpenAIRE

    Lödén, Hans

    2014-01-01

    The challenging effects of globalization upon the nation-state have been a recurrent theme in the social science discourse since the 1990’s. Nationally organized education is also seen as challenged by new demands originating from globalization. In this article it is argued that ‘nation-state’ and ‘national identity’ are highly relevant concepts when discussing a citizenship education that seeks to develop a civic ethos with, potentially, a global reach. It is further argued that the understa...

  3. Dietary Supplements: Regulatory Challenges and Research Resources.

    Science.gov (United States)

    Dwyer, Johanna T; Coates, Paul M; Smith, Michael J

    2018-01-04

    Many of the scientific and regulatory challenges that exist in research on the safety, quality and efficacy of dietary supplements are common to all countries as the marketplace for them becomes increasingly global. This article summarizes some of the challenges in supplement science and provides a case study of research at the Office of Dietary Supplements at the National Institutes of Health, USA, along with some resources it has developed that are available to all scientists. It includes examples of some of the regulatory challenges faced and some resources for those who wish to learn more about them.

  4. Neighborhood Safety and Major Depressive Disorder in a National Sample of Black Youth; Gender by Ethnic Differences

    Science.gov (United States)

    Assari, Shervin; Caldwell, Cleopatra Howard

    2017-01-01

    Adolescence is a developmental period marked by increased stress, especially among Black youth. In addition to stress related to their developmental transition, social factors such as a perceived unsafe neighborhood impose additional risks. We examined gender and ethnic differences in the association between perceived neighborhood safety and major depressive disorder (MDD) among a national sample of Black youth. We used data from the National Survey of American Life - Adolescents (NSAL-A), 2003–2004. In total, 1170 Black adolescents entered the study. This number was composed of 810 African American and 360 Caribbean Black youth (age 13 to 17). Demographic factors, perceived neighborhood safety, and MDD (Composite International Diagnostic Interview, CIDI) were measured. Logistic regressions were used to test the association between neighborhood safety and MDD in the pooled sample, as well as based on ethnicity by gender groups. In the pooled sample of Black youth, those who perceived their neighborhoods to be unsafe were at higher risk of MDD (Odds Ratio [OR] = 1.25; 95% Confidence Interval [CI] = 1.02-1.51). The perception that one’s neighborhood is unsafe was associated with a higher risk of MDD among African American males (OR=1.41; 95% CI = 1.03–1.93) but not African American females or Caribbean Black males and females. In conclusion, perceived neighborhood safety is not a universal psychological determinant of MDD across ethnic by gender groups of Black youth; however, policies and programs that enhance the sense of neighborhood safety may prevent MDD in male African American youth. PMID:28241490

  5. NATIONAL SECURITY IMPLICATIONS OF CYBER THREATS

    Directory of Open Access Journals (Sweden)

    ALEJANDRO AMIGO TOSSI

    2017-09-01

    Full Text Available Cyber threat is one of the main risks for security in developing countries, as well in States on the development path, such as ours. This phenomena is a challenge to national security, that needs the adoption of a paramount approach in its analysis, that have to consider all the aspects that had transformed the actors and malevolent actions in this environment in one of the most important challenges to the security of governmental as well as private organizations all over the world. States, hackers, cyber activists, and cyber criminals have been main actors in several situations that had shaped a new dimension for international and national security. The purpose of this article is to propose topics that could be included in the national assessment of cyber threats to the Chilean national security, based upon several conceptual definitions, cyber attacks already executed to state and military organization’s in Chile, and lastly, considerations over cyber threats included in the National Security Strategies of some western powers.

  6. Leadership and Cultural Challenges in Operating the International Space Station

    Science.gov (United States)

    Clement, J. L.; Ritsher, J. B.; Saylor, S. A.; Kanas, N.

    2006-01-01

    Operating the International Space Station (ISS) involves an indefinite, continuous series of long-duration international missions, and this requires an unprecedented degree of cooperation across multiple sites, organizations, and nations. ISS flight controllers have had to find ways to maintain effective team performance in this challenging new context. The goal of this study was to systematically identify and evaluate the major leadership and cultural challenges faces by ISS flight controllers, and to highlight the approaches that they have found most effective to surmount these challenges. We conducted a qualitative survey using a semi-structured interview. Subjects included 14 senior NASA flight controllers who were chosen on the basis of having had substantial experience working with international partners. Data were content analyzed using an iterative process with multiple coders and consensus meetings to resolve discrepancies. To further explore the meaning of the interview findings, we also conducted some new analyses of data from a previous questionnaire study of Russian and American ISS mission control personnel. The interview data showed that respondents had substantial consensus on several leadership and cultural challenges and on key strategies for dealing with them, and they offered a wide range of specific tactics for implementing these strategies. Surprisingly few respondents offered strategies for addressing the challenge of working with team members whose native language is not American English. The questionnaire data showed that Americans think it is more important than Russians that mission control personnel speak the same dialect of one shared common language. Although specific to the ISS program, our results are consistent with recent management, cultural, and aerospace research. We aim to use our results to improve training for current and future ISS flight controllers.

  7. Prediction of National Wealth

    Science.gov (United States)

    Whetzel, Deborah L.; McDaniel, Michael A.

    2006-01-01

    In their book, IQ and the Wealth of Nations, Lynn and Vanhanen ([Lynn, R. and Vanhanen, T. (2002). IQ and the wealth of nations. Westport, CT: Praeger.]) proposed the hypothesis that "the intelligence of the populations has been a major factor responsible for the national differences in economic growth and for the gap in per capita income between…

  8. Nation Building in Zimbabwe and the Challenges of Ndebele ...

    African Journals Online (AJOL)

    Abstract. This article deploys a politico-sociological historical analysis in the ... state, it has continued to haunt both the project of nationalism that ended .... revocation of the Matabeleland order-in-council of the 18th July 1894 with the ...... Ranger, T. & Vaughan, O. (eds), Legitimacy and the State in Twentieth Century Africa.

  9. Nation and Classical Music

    DEFF Research Database (Denmark)

    Brincker, Benedikte

    The last book Anthony D. Smith wrote before he died, and which will be published in Spring 2017, has the title Nation and Classical Music. Smith had for a long time been intrigued by the intimate relationship between the nation and classical music. At the most manifest level it involves...... them into their compositions thus challenging the romantic musical style searching for an authentic national musical expression. Against the backdrop of the extensive research carried out by Anthony Smith into the relationship between the nation and classical music, the present paper seeks to add...... cultural centers. In doing this, the paper seeks to unfold how composers channeled musical inspiration embedded in cultural environments that cut across national boundaries into national musical traditions thus catering to specific national audiences. The paper is written as a tribute to a great mentor...

  10. Gazelles, unicorns, and dragons battle cancer through the Nanotechnology Startup Challenge.

    Science.gov (United States)

    Truman, Rosemarie; Locke, Cody J

    On March 4th, 2016, Springer's C ancer Nanotechnology office promoted the launch of the Nanotechnology Startup Challenge in Cancer ( NSC 2 ). This innovation-development model is a partnership among our company, the Center for Advancing Innovation (CAI), MedImmune, the global biologics arm of AstraZeneca, and multiple institutes at the National Institutes of Health (NIH). NSC 2 "crowdsources" talent from around the world to launch startups with near-term, commercially viable cancer nanotechnology inventions, which were developed by the National Cancer Institute (NCI), the National Heart, Lung and Blood Institute (NHLBI), and the National Institute of Biomedical Imaging and Bioengineering (NIBIB). Crowdsourcing is a process in which one uses the internet to engage a large group of people in an activity, such as NSC 2 . For this initiative, CAI engaged universities, industry professionals, foundations, investors, relevant media outlets, seasoned entrepreneurs, and life sciences membership organizations to request that they participate in the challenge. From this outreach, fifty-six key thought leaders have enrolled in NSC 2 as judges, mentors, and/or advisors to challenge teams (http://www.nscsquared.org/judges.html). Along with crowdsourcing talent to bolt startups around NIH inventions, NSC 2 will also catalyze the launch of companies around "third-party" cancer nanotechnology inventions, which were conceived and developed outside of the NIH. Twenty-eight robust teams were accepted to the challenge on March 14th, 2016.

  11. Machine Learning wins the Higgs Challenge

    CERN Multimedia

    Abha Eli Phoboo

    2014-01-01

    The winner of the four-month-long Higgs Machine Learning Challenge, launched on 12 May, is Gábor Melis from Hungary, followed closely by Tim Salimans from the Netherlands and Pierre Courtiol from France. The challenge explored the potential of advanced machine learning methods to improve the significance of the Higgs discovery.   Winners of the Higgs Machine Learning Challenge: Gábor Melis and Tim Salimans (top row), Tianqi Chen and Tong He (bottom row). Participants in the Higgs Machine Learning Challenge were tasked with developing an algorithm to improve the detection of Higgs boson signal events decaying into two tau particles in a sample of simulated ATLAS data* that contains few signal and a majority of non-Higgs boson “background” events. No knowledge of particle physics was required for the challenge but skills in machine learning - the training of computers to recognise patterns in data – were essential. The Challenge, hosted by Ka...

  12. Vaccine prevention of meningococcal disease in Africa: Major advances, remaining challenges.

    Science.gov (United States)

    Mustapha, Mustapha M; Harrison, Lee H

    2017-12-06

    Africa historically has had the highest incidence of meningococcal disease with high endemic rates and periodic epidemics. The meningitis belt, a region of sub-Saharan Africa extending from Senegal to Ethiopia, has experienced large, devastating epidemics. However, dramatic shifts in the epidemiology of meningococcal disease have occurred recently. For instance, meningococcal capsular group A (NmA) epidemics in the meningitis belt have essentially been eliminated by use of conjugate vaccine. However, NmW epidemics have emerged and spread across the continent since 2000; NmX epidemics have occurred sporadically, and NmC recently emerged in Nigeria and Niger. Outside the meningitis belt, NmB predominates in North Africa, while NmW followed by NmB predominate in South Africa. Improved surveillance is necessary to address the challenges of this changing epidemiologic picture. A low-cost, multivalent conjugate vaccine covering NmA and the emergent and prevalent meningococcal capsular groups C, W, and X in the meningitis belt is a pressing need.

  13. Perseverative thought: a robust predictor of response to emotional challenge in generalized anxiety disorder and major depressive disorder.

    Science.gov (United States)

    Ruscio, Ayelet Meron; Seitchik, Allison E; Gentes, Emily L; Jones, Jason D; Hallion, Lauren S

    2011-12-01

    Generalized anxiety disorder (GAD) and major depressive disorder (MDD) frequently co-occur, yet the reasons for their comorbidity remain poorly understood. In the present experiment, we tested whether a tendency to engage in negative, repetitive thinking constitutes a common risk process for the two disorders. A mixed sample of adults with comorbid GAD-MDD (n=50), GAD only (n=35), MDD only (n=34), or no lifetime psychopathology (n=35) was administered noncontingent failure and success feedback on consecutive performance tasks. Perseverative thought (PT), measured by negative thought intrusions during a baseline period of focused breathing, emerged as a powerful prospective predictor of responses to this experimental challenge. Participants reporting more frequent negative thought intrusions at baseline, irrespective of thought content or diagnostic status, exhibited a stronger negative response to failure that persisted even after subsequent success. Higher PT over the course of the experiment was associated with later behavioral avoidance, with negative affect and other traits closely linked to anxiety and depression, and with the presence and severity of GAD and MDD. These findings provide evidence for a broadly-defined PT trait that is shared by GAD and MDD and contributes to adverse outcomes in these disorders. Copyright © 2011 Elsevier Ltd. All rights reserved.

  14. Integrating Social Science and Ecosystem Management: A National Challenge

    Science.gov (United States)

    Cordell; H. Ken; Linda Caldwell

    1995-01-01

    These proceedings contain the contributed papers and panel presentations, as well as a paper presented at the National Workshop, of the Conference on Integrating Social Sciences and Ecosystem Management, which was held at Unicoi Lodge and Conference Center, Helen, GA, December 12-14, 1995. The overall purpose of this Conference was to improve understanding, integration...

  15. The challenges and possibilities of public access defibrillation

    NARCIS (Netherlands)

    Ringh, Mattias; Hollenberg, Jacob; Palsgaard-Moeller, Thea; Svensson, Leif; Rosenqvist, Mårten; Lippert, Freddy K.; Wissenberg, Mads; Malta Hansen, Carolina; Claesson, Andreas; Viereck, Soren; Zijlstra, Jolande A.; Koster, Rudolph W.; Herlitz, Johan; Blom, Marieke T.; Kramer-Johansen, Jo; Tan, Hanno L.; Beesems, Steffie; Hulleman, Michiel; Olasveengen, Theresa M.; Folke, Fredrik

    2018-01-01

    Out-of-hospital cardiac arrest (OHCA) is a major health problem that affects approximately four hundred and thousand patients annually in the United States alone. It is a major challenge for the emergency medical system as decreased survival rates are directly proportional to the time delay from

  16. Knowledge and challenges of serodiscordant couples living among ...

    African Journals Online (AJOL)

    Depression (51.4%) was the major challenge outlined by respondents followed by social isolation (37.1%). Despite these challenges the respondents exhibited relatively good knowledge on prevention measures as 69.2% resorted to the use of condoms and 92.3% did not share sharp objects. It was also revealed that there ...

  17. Citizenship education, national identity and political trust: The Case of Sweden

    Directory of Open Access Journals (Sweden)

    Hans Lödén

    2014-12-01

    Full Text Available The challenging effects of globalization upon the nation-state have been a recurrent theme in the social science discourse since the 1990’s. Nationally organized education is also seen as challenged by new demands originating from globalization. In this article it is argued that ‘nation-state’ and ‘national identity’ are highly relevant concepts when discussing a citizenship education that seeks to develop a civic ethos with, potentially, a global reach. It is further argued that the understanding of such an ethos would benefit significantly from incorporating the role of political trust since trust has been identified as a main feature of the social capital that makes democracy work. Three themes are brought together: national identity and identification, the importance for democracy of political trust and the challenges citizenship education face when carried out in a national context but intended to manage issues that go far beyond the reach of the nation-state. The importance of citizenship education is discussed using recent research on the Swedish citizenship education classroom

  18. Potential challenges facing distributed leadership in health care: evidence from the UK National Health Service.

    Science.gov (United States)

    Martin, Graeme; Beech, Nic; MacIntosh, Robert; Bushfield, Stacey

    2015-01-01

    The discourse of leaderism in health care has been a subject of much academic and practical debate. Recently, distributed leadership (DL) has been adopted as a key strand of policy in the UK National Health Service (NHS). However, there is some confusion over the meaning of DL and uncertainty over its application to clinical and non-clinical staff. This article examines the potential for DL in the NHS by drawing on qualitative data from three co-located health-care organisations that embraced DL as part of their organisational strategy. Recent theorising positions DL as a hybrid model combining focused and dispersed leadership; however, our data raise important challenges for policymakers and senior managers who are implementing such a leadership policy. We show that there are three distinct forms of disconnect and that these pose a significant problem for DL. However, we argue that instead of these disconnects posing a significant problem for the discourse of leaderism, they enable a fantasy of leadership that draws on and supports the discourse. © 2014 The Authors. Sociology of Health & Illness © 2014 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.

  19. Challenges to promoting health in the modern welfare state: the case of the Nordic nations.

    Science.gov (United States)

    Raphael, Dennis

    2014-02-01

    Finland, Norway, and Sweden are leaders in promoting health through public policy action. Much of this has to do with the close correspondence between key health promotion concepts and elements of the Nordic welfare state that promote equity through universalist strategies and programs that provide citizens with economic and social security. The purpose of this article is to identify the threats to the Nordic welfare states related to immigration, economic globalization, and welfare state fatigue. Through a critical analysis of relevant literature and data this article provides evidence of the state of the Nordic welfare state and some of these challenges to the Nordic welfare state and its health promotion efforts. There is evidence of declining support for the unconditional Nordic welfare state, increases in income inequality and poverty, and a weakening of the programs and supports that have associated with the excellent health profile of the Nordic nations. This is especially the case for Sweden. It is argued that the Nordic welfare states' accomplishments must be celebrated and used as a basis for maintaining the public policies shown to be successful in promoting the health of its citizens.

  20. Women's decision to major in STEM fields

    Science.gov (United States)

    Conklin, Stephanie

    This paper explores the lived experiences of high school female students who choose to enter into STEM fields, and describes the influencing factors which steered these women towards majors in computer science, engineering and biology. Utilizing phenomenological methodology, this study seeks to understand the essence of women's decisions to enter into STEM fields and further describe how the decision-making process varies for women in high female enrollment fields, like biology, as compared with low enrollment fields like, computer science and engineering. Using Bloom's 3-Stage Theory, this study analyzes how relationships, experiences and barriers influenced women towards, and possibly away, from STEM fields. An analysis of women's experiences highlight that support of family, sustained experience in a STEM program during high school as well as the presence of an influential teacher were all salient factors in steering women towards STEM fields. Participants explained that influential teacher worked individually with them, modified and extended assignments and also steered participants towards coursework and experiences. This study also identifies factors, like guidance counselors as well as personal challenges, which inhibited participant's path to STEM fields. Further, through analyzing all six participants' experiences, it is clear that a linear model, like Bloom's 3-Stage Model, with limited ability to include potential barriers inhibited the ability to capture the essence of each participant's decision-making process. Therefore, a revised model with no linear progression which allows for emerging factors, like personal challenges, has been proposed; this model focuses on how interest in STEM fields begins to develop and is honed and then mastered. This study also sought to identify key differences in the paths of female students pursuing different majors. The findings of this study suggest that the path to computer science and engineering is limited. Computer

  1. Ireland's Competitiveness Challenge 2011

    OpenAIRE

    2012-01-01

    The NCC publishes two annual competitiveness reports. Ireland's Competitiveness Challenge focuses on the national competitiveness issues of most importance to the enterprise sector and identifies policy recommendations required to address these issues. The report focuses on pursuing policies to improve competitiveness, particularly those to reduce the cost base for enterprise, to enhance the performance of the entire education system, and to deliver meaningful public sector reform. Ireland's ...

  2. Nurses' perceptions of the challenges related to the Omanization policy.

    Science.gov (United States)

    Al-Riyami, M; Fischer, I; Lopez, V

    2015-12-01

    Human resource development has become a major concern in Oman since the inception of the 'Omanization' policy in 1988. The main goal of this policy was to replace the expatriate nursing workforce with similarly qualified local nurses to develop a sustainable workforce and achieve self-reliance. The aim of this study is to explore the nurses' perceptions of Omanization policy. A qualitative research design was used and 16 Omani registered nurses and 26 student nurses were interviewed in depth. Transcribed data were analysed using content analysis. Two main themes emerged from the data: 'Challenges of sustaining the local nursing workforce' and 'Challenges of educational preparation for local nurses'. The participants agreed that Omanization benefited national development, social stability and ensuring local workforce. The challenges faced were cultural and work life balance, preparation of nurses and pace of replacement. The participants were concerned that the pace of replacement could leave behind a marked experience gap. A slow-phased approach to Omanization of the nursing workforce was recommended by the participants. Results obtained from this study reflect the perceptions and voices of student nurses and registered nurses only from the Institute of Nursing and Oman Ministry of Health. A policy of this magnitude requires gradual establishment. The upgrading of the nursing education to degree level, continuous professional development, mentoring and role modeling of expert nurses should be established to prepare local nurses for the localization of the nursing workforce. © 2015 International Council of Nurses.

  3. The physical environment and major plant communities of the Karoo National Park, South Africa

    Directory of Open Access Journals (Sweden)

    Francine Rubin

    1996-08-01

    Full Text Available The major plant communities of the Karoo National Park are described using the methods of the Zurich-Montpellier school of phytosociology, to assist with the formulation of a management strategy for the park. The vegetation physiognomy consists of Montane Karoo grassy shrublands. Karoo grassy dwarf shrublands. Karoo succulent dwarf shrublands and riparian thicket. Steep elevation and precipitation gradients within the study area have a direct impact on gradients in the vegetation. High elevation (1 800 m, and relatively high rainfall (406 mm montane grasslands occupy communities dominated by grasses (Merxmuellera disticha, Themeda triandra and woody species (Diospyros austro-africana, Elytropappus rhinocerotis, Euryops annae, Passerina montana. The increasing aridity away from the escarpment edge in a northerly direction is steep, and Montane Karoo dwarf shrublands replace these mesic communities. Species such as Eriocephalus ericoides, Rosenia oppositifolia and Pteronia tricephala dominate. At lower elevation (800 m the precipitation is very low (175 mm and uncertain (coefficient of variation of 78 . The substrata influence the vegetation, with the sandy substrata of the drainage lines supporting more woody taxa (Acacia karroo, Lycium cinereum and grasses (Hyparrhenia hirta, Stipagrostis namaquensis, Cenchrus ciliaris. Moving away from the mesic environment of the riparian zone, rapid desiccation occurs and the most xeric communities are encountered, dominated by Stipagrostis obtusa, S. ciliata and Pent-da incana. This document provides descriptions of the general communities and their associated landscape, lithology and soils.

  4. Generation of a U.S. national urban land use product

    Science.gov (United States)

    Falcone, James A.; Homer, Collin G.

    2012-01-01

    Characterization of urban land uses is essential for many applications. However, differentiating among thematically-detailed urban land uses (residential, commercial, industrial, institutional, recreational, etc.) over broad areas is challenging, in part because image-based solutions are not ideal for establishing the contextual basis for identifying economic function and use. At present no current United States national-scale mapping exists for urban land uses similar to the classical Anderson Level II classification. This paper describes a product that maps urban land uses, and is linked to and corresponds with the National Land Cover Database (NLCD) 2006. In this product, NLCD urban pixels, in addition to their current imperviousness intensity classification, are assigned one of nine urban use classes based on information drawn from multiple data sources. These sources include detailed infrastructure information, population characteristics, and historical land use. The result is a method for creating a 30 m national-scale grid providing thematically-detailed urban land use information which complements the NLCD. Initial results for 10 major metropolitan areas are provided as an on-line link. Accuracy assessment of initial products yielded an overall accuracy of 81.6 percent.

  5. Changes in major depressive and generalized anxiety disorders in the national French working population between 2006 and 2010.

    Science.gov (United States)

    Malard, Lucile; Chastang, Jean-François; Niedhammer, Isabelle

    2015-06-01

    This study aimed at assessing the changes in mental disorders in the French working population between 2006 and 2010, using nationally representative prospective data and a structured diagnostic interview for major depressive episode (MDE) and generalized anxiety disorder (GAD), and also at exploring the differential changes in mental disorders according to age, origin, occupation, public/private sector, self-employed/employee status and work contract. The data came from the prospective national representative Santé et Itinéraire Professionnel (SIP) survey, including a sample of 5600 French workers interviewed in 2006 and 2010. The Mini International Neuropsychiatric Interview (MINI) was used to measure MDE and GAD. Analyses were performed using weighted generalized estimation equations, and were stratified by gender. No changes in MDE and GAD were observed for both genders among the working population. No differential changes were observed, except one: the prevalence of GAD increased among women working in the public sector while there was no change among women in the private sector. Two data collections over a 4-year period may not capture the effects of the crisis on mental disorders properly. No changes in mental disorders between 2006 and 2010 were found but the increase in the prevalence of anxiety among women in the public sector may be of particular interest for prevention policies. High levels of social protection in France might contribute to explain these non-significant results. Copyright © 2015 Elsevier B.V. All rights reserved.

  6. Major challenges in engineering and its role in society

    Directory of Open Access Journals (Sweden)

    José Ismael Peña-Reyes

    2011-02-01

    Full Text Available Engineering has a long historical tradition; it began as a discipline in the sixteenth century and reached maturity during the twentieth century. However, the twenty-first century’s features strongly differentiate it from earlier times; when referring to this period, we speak of globalisation, knowledge society and national innovation systems. This is a period marked by contradictions. Technological developments and social and political changes have improved human beings’ quality of life. New technologies have provided the context for its opening decade: nanotechnology, microelectronics and nanoelectronics, photonics, materials science, biotechnology, information and communications technology, logistics, medical engineering and renewable and clean energy. Technologies feed each other and off each other, offering endless possibilities for development. This is a time where the doors of political democratisation, art and culture have opened; however, it is also a world facing political, financial and environmental crisis. Colombia, particularly, is a country encountering problems regarding its competitiveness, having crippling levels of corruption and impunity, problems related to education, health and infrastructure. Colombia needs more engineers who can contribute towards resolving complex problems. Such engineers must have had excellent technical and humanistic training; they must be creative, able to work as a team, have become leaders who can listen and communicate and help develop a world to ensure that humans and other living species on earth can flourish with a uniform, durable level regarding their quality of life. Work must thus be done on critical engineering education and the present work presents some characteristics concerning what these engineers training/education should be.

  7. 2005 the North American Solar Challenge

    Energy Technology Data Exchange (ETDEWEB)

    Dan Eberle

    2008-12-22

    In July 2005 the North American Solar Challenge (NASC) featured university built solar powered cars ran across the United States into Canada. The competition began in Austin, Texas with stops in Weatherford, Texas; Broken Arrow, Oklahoma; Topeka, Kansas; Omaha, Nebraska; Sioux Falls, South Dakota, Fargo, North Dakota; Winnipeg, Manitoba; Brandon, Manitoba; Regina, Saskatchewan; Medicine Hat, Alberta; mainly following U.S. Highway 75 and Canadian Highway 1 to the finish line in Calgary, Alberta, Canada, for a total distance of 2,500 miles. NASC major sponsors include the U.S. Department of Energy (DOE), Natural Resources Canada and DOEs National Renewable Energy Laboratory. The event is designed to inspire young people to pursue careers in science and engineering. NASCs predecessors, the American Solar Challenge and Sunrayce, generally have been held every two years since 1990. With each race, the solar cars travel faster and further with greater reliability. The NASC promotes: -Renewable energy technologies (specifically photovoltaic or solar cells) -Educational excellence in science, engineering and mathematics -Creative integration of technical and scientific expertise across a wide-range of disciplines -Hands-on experience for students and engineers to develop and demonstrate their technical and creative abilities. Safety is the first priority for the NASC. Each team put its car through grueling qualifying and technical inspections. Teams that failed to meet the requirements were not allowed participate. During the race, each team was escorted by lead and chase vehicles sporting rooftop hazard flashers. An official observer accompanied each solar car team to keep it alert to any safety issues.

  8. Insecurity and national economic development implications for ...

    African Journals Online (AJOL)

    Insecurity and national economic development implications for Nigeria's vision 20: 2020. ... International Journal of Development and Management Review ... These social menace trigger off a worrisome sense of insecurity that challenge Nigeria's efforts towards national economic development and consequently its vision ...

  9. Presidential Green Chemistry Challenge: 2002 Small Business Award

    Science.gov (United States)

    Presidential Green Chemistry Challenge 2002 award winner, SC Fluids, with Los Alamos National Laboratory, developed supercritical CO2 resist remover technology to clean residues from semiconductor wafers during manufacture.

  10. “This World Is Not My Home”: Richard Mouw and Christian Nationalism

    Directory of Open Access Journals (Sweden)

    Aaron Pattillo-Lunt

    2016-12-01

    Full Text Available American evangelicalism has often been punctuated by dual commitments to the United States and to God. Those commitments were strongest within politically conservative evangelicalism. Though representing a solid majority among professing evangelicals, conservatives could not speak for the movement as a whole. Politically progressive evangelicals, beginning in the 1960s, formed a dissenting opinion of the post-World War II revival of Christian nationalism. They dared to challenge American action abroad, noticeably during the Vietnam War. Their critique of Christian nationalism and conservative evangelicals’ close ties to the Republican Party led them to seek refuge in either progressive policies or the Democratic Party. A third, underexplored subgroup of evangelicalism rooted in reformed theology becomes important to consider in this regard. These reformed evangelicals sought to contextualize nationalism in biblical rather than partisan or political terms. This goal is championed well by Richard Mouw, resulting in a nuanced look at evangelical Christians’ difficult dual role as both citizens of the Kingdom of God and the United States.

  11. Chagas disease in Switzerland: history and challenges.

    Science.gov (United States)

    Jackson, Y; Chappuis, F

    2011-09-15

    Chagas disease, endemic in Latin America, is an emerging health problem in Europe affecting an estimated 80,000 persons. Around 60,000 Latin American migrants live in Switzerland, and cases of Chagas disease have been reported since 1979. As of June 2011, 258 cases have been diagnosed, mostly adults in the indeterminate phase of the chronic stage of the disease. Vertical transmission has been identified and there is a high potential for blood- and organ-borne transmission in the absence of systematic screening. Major challenges include (i) raising awareness among migrants and healthcare professionals, (ii) developing national protocols for screening and treatment targeting high-risk groups such as pregnant woman, newborns, migrants from highly endemic areas (e.g. Bolivia), and immunocompromised migrants, (iii) preventing blood- and organ-borne transmission by appropriate screening strategies, (iv) taking into account the social vulnerability of individuals at risk in the design and implementation of public health programmes, and (v) facilitating contacts with the communities at risk through outreach programmes, for example in churches and cultural groups.

  12. Dietary Supplements: Regulatory Challenges and Research Resources

    OpenAIRE

    Johanna T. Dwyer; Paul M. Coates; Michael J. Smith

    2018-01-01

    Many of the scientific and regulatory challenges that exist in research on the safety, quality and efficacy of dietary supplements are common to all countries as the marketplace for them becomes increasingly global. This article summarizes some of the challenges in supplement science and provides a case study of research at the Office of Dietary Supplements at the National Institutes of Health, USA, along with some resources it has developed that are available to all scientists. It includes e...

  13. Oral food challenge outcomes in a pediatric tertiary care center

    OpenAIRE

    Abrams, Elissa M.; Becker, Allan B.

    2017-01-01

    Background Oral food challenges are the clinical standard for diagnosis of food allergy. Little data exist on predictors of oral challenge failure and reaction severity. Methods A retrospective chart review was done on all pediatric patients who had oral food challenges in a tertiary care pediatric allergy clinic from 2008 to 2010. Results 313 oral challenges were performed, of which the majority were to peanut (105), egg (71), milk (41) and tree nuts (29). There were 104 (33%) oral challenge...

  14. Challenges for Data Archival Centers in Evolving Environmental Sciences

    Science.gov (United States)

    Wei, Y.; Cook, R. B.; Gu, L.; Santhana Vannan, S. K.; Beaty, T.

    2015-12-01

    Environmental science has entered into a big data era as enormous data about the Earth environment are continuously collected through field and airborne missions, remote sensing observations, model simulations, sensor networks, etc. An open-access and open-management data infrastructure for data-intensive science is a major grand challenge in global environmental research (BERAC, 2010). Such an infrastructure, as exemplified in EOSDIS, GEOSS, and NSF EarthCube, will provide a complete lifecycle of environmental data and ensures that data will smoothly flow among different phases of collection, preservation, integration, and analysis. Data archival centers, as the data integration units closest to data providers, serve as the source power to compile and integrate heterogeneous environmental data into this global infrastructure. This presentation discusses the interoperability challenges and practices of geosciences from the aspect of data archival centers, based on the operational experiences of the NASA-sponsored Oak Ridge National Laboratory Distributed Active Archive Center (ORNL DAAC) and related environmental data management activities. Specifically, we will discuss the challenges to 1) encourage and help scientists to more actively share data with the broader scientific community, so that valuable environmental data, especially those dark data collected by individual scientists in small independent projects, can be shared and integrated into the infrastructure to tackle big science questions; 2) curate heterogeneous multi-disciplinary data, focusing on the key aspects of identification, format, metadata, data quality, and semantics to make them ready to be plugged into a global data infrastructure. We will highlight data curation practices at the ORNL DAAC for global campaigns such as BOREAS, LBA, SAFARI 2000; and 3) enhance the capabilities to more effectively and efficiently expose and deliver "big" environmental data to broad range of users and systems

  15. The restoration of an Argonne National Laboratory foundry

    International Nuclear Information System (INIS)

    Shearer, T.; Pancake, D.; Shelton, B.

    1997-01-01

    The Environmental Management Operations' Waste Management Department (WMD) at Argonne National Laboratory-East (ANL-E) undertook the restoration of an unused foundry with the goal of restoring the area for general use. The foundry was used in the fabrication of reactor components for ANL's research and development programs; many of the items fabricated in the facility were radioactive, thereby contaminating the foundry equipment. This paper very briefly describes the dismantling and decontamination of the facility. The major challenges associated with the safe removal of the foundry equipment included the sheer size of the equipment, a limited overhead crane capability (4.5 tonne), the minimization of radioactive and hazardous wastes, and the cost-effective completion of the project, the hazardous and radioactive wastes present, and limited process knowledge (the facility was unused for many years)

  16. Plain language and organisational challenges

    DEFF Research Database (Denmark)

    Pedersen, Karsten

    2014-01-01

    Changing the language in an organization is a major organizational change. In this article, I discuss some of the organizational challenges for one specific language change implementation, taking the stance that language change must be treated as any other organizational change for it to have an ...

  17. Sustainable Supply of Resources and Energy is a Challenge

    NARCIS (Netherlands)

    Kühn, Michael; Ask, Maria; Bruckman, Viktor; Hangx, S.|info:eu-repo/dai/nl/30483579X; Juhlin, Christopher

    2015-01-01

    The European Geosciences Union brings together geoscientists from all over Europe and the rest of the world, covering all disciplines of the earth sciences. This geoscientific inter- and multi-disciplinarity is needed to tackle the challenges of the future. A major challenge for humankind is to

  18. The challenges and opportunities in cumulative effects assessment

    Energy Technology Data Exchange (ETDEWEB)

    Foley, Melissa M., E-mail: mfoley@usgs.gov [U.S. Geological Survey, Pacific Coastal and Marine Science Center, 400 Natural Bridges, Dr., Santa Cruz, CA 95060 (United States); Center for Ocean Solutions, Stanford University, 99 Pacific St., Monterey, CA 93940 (United States); Mease, Lindley A., E-mail: lamease@stanford.edu [Center for Ocean Solutions, Stanford University, 473 Via Ortega, Stanford, CA 94305 (United States); Martone, Rebecca G., E-mail: rmartone@stanford.edu [Center for Ocean Solutions, Stanford University, 99 Pacific St., Monterey, CA 93940 (United States); Prahler, Erin E. [Center for Ocean Solutions, Stanford University, 473 Via Ortega, Stanford, CA 94305 (United States); Morrison, Tiffany H., E-mail: tiffany.morrison@jcu.edu.au [ARC Centre of Excellence for Coral Reef Studies, James Cook University, Townsville, QLD, 4811 (Australia); Murray, Cathryn Clarke, E-mail: cmurray@pices.int [WWF-Canada, 409 Granville Street, Suite 1588, Vancouver, BC V6C 1T2 (Canada); Wojcik, Deborah, E-mail: deb.wojcik@duke.edu [Nicholas School for the Environment, Duke University, 9 Circuit Dr., Durham, NC 27708 (United States)

    2017-01-15

    The cumulative effects of increasing human use of the ocean and coastal zone have contributed to a rapid decline in ocean and coastal resources. As a result, scientists are investigating how multiple, overlapping stressors accumulate in the environment and impact ecosystems. These investigations are the foundation for the development of new tools that account for and predict cumulative effects in order to more adequately prevent or mitigate negative effects. Despite scientific advances, legal requirements, and management guidance, those who conduct assessments—including resource managers, agency staff, and consultants—continue to struggle to thoroughly evaluate cumulative effects, particularly as part of the environmental assessment process. Even though 45 years have passed since the United States National Environmental Policy Act was enacted, which set a precedent for environmental assessment around the world, defining impacts, baseline, scale, and significance are still major challenges associated with assessing cumulative effects. In addition, we know little about how practitioners tackle these challenges or how assessment aligns with current scientific recommendations. To shed more light on these challenges and gaps, we undertook a comparative study on how cumulative effects assessment (CEA) is conducted by practitioners operating under some of the most well-developed environmental laws around the globe: California, USA; British Columbia, Canada; Queensland, Australia; and New Zealand. We found that practitioners used a broad and varied definition of impact for CEA, which led to differences in how baseline, scale, and significance were determined. We also found that practice and science are not closely aligned and, as such, we highlight opportunities for managers, policy makers, practitioners, and scientists to improve environmental assessment.

  19. The challenges and opportunities in cumulative effects assessment

    International Nuclear Information System (INIS)

    Foley, Melissa M.; Mease, Lindley A.; Martone, Rebecca G.; Prahler, Erin E.; Morrison, Tiffany H.; Murray, Cathryn Clarke; Wojcik, Deborah

    2017-01-01

    The cumulative effects of increasing human use of the ocean and coastal zone have contributed to a rapid decline in ocean and coastal resources. As a result, scientists are investigating how multiple, overlapping stressors accumulate in the environment and impact ecosystems. These investigations are the foundation for the development of new tools that account for and predict cumulative effects in order to more adequately prevent or mitigate negative effects. Despite scientific advances, legal requirements, and management guidance, those who conduct assessments—including resource managers, agency staff, and consultants—continue to struggle to thoroughly evaluate cumulative effects, particularly as part of the environmental assessment process. Even though 45 years have passed since the United States National Environmental Policy Act was enacted, which set a precedent for environmental assessment around the world, defining impacts, baseline, scale, and significance are still major challenges associated with assessing cumulative effects. In addition, we know little about how practitioners tackle these challenges or how assessment aligns with current scientific recommendations. To shed more light on these challenges and gaps, we undertook a comparative study on how cumulative effects assessment (CEA) is conducted by practitioners operating under some of the most well-developed environmental laws around the globe: California, USA; British Columbia, Canada; Queensland, Australia; and New Zealand. We found that practitioners used a broad and varied definition of impact for CEA, which led to differences in how baseline, scale, and significance were determined. We also found that practice and science are not closely aligned and, as such, we highlight opportunities for managers, policy makers, practitioners, and scientists to improve environmental assessment.

  20. The challenges and opportunities in cumulative effects assessment

    Science.gov (United States)

    Foley, Melissa M.; Mease, Lindley A; Martone, Rebecca G; Prahler, Erin E; Morrison, Tiffany H; Clarke Murray, Cathryn; Wojcik, Deborah

    2016-01-01

    The cumulative effects of increasing human use of the ocean and coastal zone have contributed to a rapid decline in ocean and coastal resources. As a result, scientists are investigating how multiple, overlapping stressors accumulate in the environment and impact ecosystems. These investigations are the foundation for the development of new tools that account for and predict cumulative effects in order to more adequately prevent or mitigate negative effects. Despite scientific advances, legal requirements, and management guidance, those who conduct assessments—including resource managers, agency staff, and consultants—continue to struggle to thoroughly evaluate cumulative effects, particularly as part of the environmental assessment process. Even though 45 years have passed since the United States National Environmental Policy Act was enacted, which set a precedent for environmental assessment around the world, defining impacts, baseline, scale, and significance are still major challenges associated with assessing cumulative effects. In addition, we know little about how practitioners tackle these challenges or how assessment aligns with current scientific recommendations. To shed more light on these challenges and gaps, we undertook a comparative study on how cumulative effects assessment (CEA) is conducted by practitioners operating under some of the most well-developed environmental laws around the globe: California, USA; British Columbia, Canada; Queensland, Australia; and New Zealand. We found that practitioners used a broad and varied definition of impact for CEA, which led to differences in how baseline, scale, and significance were determined. We also found that practice and science are not closely aligned and, as such, we highlight opportunities for managers, policy makers, practitioners, and scientists to improve environmental assessment.

  1. Mechatronic Design - Still a Considerable Challenge

    DEFF Research Database (Denmark)

    Torry-Smith, Jonas; Qamar, Ahsan; Achiche, Sofiane

    2011-01-01

    Development of mechatronic products is traditionally carried out by several design experts from different design domains. Performing development of mechatronic products is thus greatly challenging. In order to tackle this, the critical challenges in mechatronics have to be well understood and well...... supported through applicable methods and tools. This paper aims at identifying the major challenges, by conducting a survey of the most relevant research work in mechatronic design. Solutions proposed in literature are assessed and illustrated through a case study in order to investigate, if the challenges...... can be handled appropriately by the methods, tools, and mindsets suggested by the mechatronic community. Using a real world mechatronics case, the paper identifies the areas where further research is required, by showing a clear connection between the actual problems faced during the design task...

  2. Embracing the challenge of competition

    International Nuclear Information System (INIS)

    MacDonald, C.

    1998-01-01

    The new and creative solutions that Edmonton Power is using to meet the challenges of deregulation, competition and demand for customer choice in the electric power industry are discussed. Among these creative initiatives, in 1997 Edmonton Power extended account management services to 850 accounts to deliver commercial and operational analysis of energy consumption and management. Another major focus of effort has been the introduction of time of use (TOU) pricing options to commercial and industrial customers above 150 kWh. This required the installation of the latest hourly metering technology and the establishment of new price plans and contracts. Two major challenges were highlighted: (1) the mismatch between the prices utilities pay at the power pool and what the customer pays at the meter, and (2) the increased volatility of hour to hour price changes are just some of the risks that will have to be resolved under the new market structure

  3. The Spanish National Forest Inventory: history, development, challenges and perspectives

    Directory of Open Access Journals (Sweden)

    Iciar Alberdi

    2017-09-01

    Full Text Available It is important to have a statistically robust forest information data base which can be updated and can provide long-term information. National Forest Inventories (NFI provide one of the best large-scale sources of information, and therefore are a cornerstone of forest policies. The scopes of NFIs, which are the primary source of data for national and large-area assessments, has been broadened to include new variables to meet increasing information requirements. This paper describes the history, methodology and guidance of Spanish NFI and international requirements. The current objectives are determined by analysing future perspectives and possible direction of future assessments. These objectives include harmonization of NFI, open data source and to broaden the number of field variables monitored (multi-objective inventory in order to effectively fulfil information requirements.

  4. Fragments of Nations and Nationalisms: Towards a Typology of the 21st Century Nationalisms

    Directory of Open Access Journals (Sweden)

    Şahan Savaş KARATAŞLI

    2012-01-01

    Full Text Available This paper attempts to provide a typology of state-seeking nationalisms of the 21stcentury. We collected data using James Minahan's (2002 Encyclopedia ofStateless Nations and from the major newspaper sources with internationalcoverage using Proquest newspaper database from 2000-2010. Based on thesedata we identified over 300 nations, which demand a state for their own, whichhave a well-defined territory,has a flag of their own and an organization whichdemand independence and/or autonomy. This paper examines 174 of these nationswhich have populations over 1 million. These nations are highly different fromeach other in terms of their level of mobilization level of militancy, organizationalcapacity, demands and grievances. Taking these differences into consideration, weestablished a typology of 21st century state-seeking nationalisms. Our typology,which is inspired by Miroslav Hroch's three phases, is not only descriptive incharacter but also suggests how nationalist movements evolve and transform intime.

  5. Premises and Challenges of Entrepreneurship in Romanian Rural Areas

    Directory of Open Access Journals (Sweden)

    Raluca IGNAT

    2012-12-01

    Full Text Available The rural inhabitants need to face and survive structural changes in rural economy and, thus, to become more market oriented. Traditions and old skills were somehow lost and new activities were approached. In order to reach them, public policy intervened and supported several types of activities. The public authorities demand Romanian inhabitants from rural areas to be truly competitive in a fully shacked economy. Therefore, the research question is: what are the premises and challenges that Romanian inhabitants from rural areas confront to? Entrepreneurial skills of Romanians in rural areas are a matter of national interest. The problem of entrepreneurships has, at least, two meanings in the present paper: the premises and challenges of the free manifestation of private initiative and the importance of this manifestation for national economy. The approach is pragmatic, for public policy. The main objectives of the research are: to identify the premises and challenges of the entrepreneurship in Romanian rural areas and to elaborate relevant solution for public policy in order to conduct to robust rural economy as a result of entrepreneurial expression. Therefore, next financial plan of the Romanian national Rural Development Programme 2014-2020 needs to take into consideration the premises and challenges of entrepreneurship, as this is the only pertinent solution for added value creation in rural economy. And the strategic approach is to define the future profile of Romanian rural inhabitant.

  6. Democratic leadership for school improvement in challenging contexts

    OpenAIRE

    Harris, A.; Chapman, C.

    2002-01-01

    There is a great deal of contemporary interest in improving schools in challenging contexts. However, there are relatively few research studies that have focused exclusively upon successful leadership practices in such schools. This article outlines the findings from a research study funded by the National College for School Leadership in England that explored successful leadership practices and school improvement strategies in a group of secondary schools in challenging circumstances.

  7. Graduate Students' Perceptions of the Impact of the Alternative National English Course on the Improvement of Their English Language Learning and Their Learning Challenges at the University of Jordan

    Science.gov (United States)

    Alkhawaldeh, Ahmad Mokbel

    2017-01-01

    This qualitative study addressed the English language learning needs and challenges expressed by a sample of 22 postgraduate students from diversified faculties in the University of Jordan. These students were required to take the Alternative National English course. They wrote a self-report reflecting on their English language learning needs and…

  8. The Importance of National Ethos in Military Victories

    Directory of Open Access Journals (Sweden)

    Eyal Lewin

    2016-08-01

    Full Text Available When nations are violently threatened, the choices that they make in order to cope with the challenge of war reflect different alternative possible reactions. They may choose to fiercely fight their battles; they may prefer to surrender, and sometimes the options lay in-between. One puzzle is, therefore, what makes nations fight, and more importantly—what causes them eventually to win or to lose the war. In search for an answer, this study inquires through secondary sources three historical case studies from World War II: Britain, France and Germany, and reviews how each of these major European powers acted throughout the war. After each historical description, the study examines the part that national ethos played in the manner in which each state handled war in moments of crisis. The national ethos of a people is the creed formed from the shared values and traditions through which the nation views its past, present and future; it is the integrating element that defines a nation’s identity and bonds it into a coherent social group. The study reveals how national ethos is intertwined with another phenomenon of social psychology that turns it into a crucial factor in the management of international campaigns: war enthusiasm. Since national ethos is so crucial for the results of the war that a country might lead in order to survive or prosper, it is imperative for decision makers to bear in mind that it is also subject to a process of shaping and reshaping, as the Soviets have proved in relation to their Russian national ethos during World War II. A word of caution, however, is noteworthy: a wide historical perspective shows that even though the right kind of national ethos is essential for winning a war it is far from being enough. Hence national ethos proves, at the end of the day, to be a necessary condition for military victory but certainly not a sufficient one.

  9. Identification of Challenges to the Availability and Accessibility of Opioids in Twelve European Countries: Conclusions from Two ATOME Six-Country Workshops.

    Science.gov (United States)

    Linge-Dahl, Lisa; Vranken, Marjolein; Juenger, Saskia; North, Kate; Scholten, Willem; Payne, Sheila; Radbruch, Lukas

    2015-12-01

    Access to many controlled medicines is inadequate in a number of European countries. This leads to deficits in the treatment of moderate to severe pain as well as in opioid agonist therapy. The study objective was to elaborate the reasons for this inadequacy. The work plan of the Access to Opioid Medication in Europe (ATOME) project included two six-country workshops. These workshops comprised a national situational analysis, drafting tailor-made recommendations for improvement and developing action plans for their implementation. In total, 84 representatives of the national Ministries of Health, national controlled substances authorities, experts representing regulatory and law enforcement authorities, leading health care professionals, and patient representatives from 13 European countries participated in either one of the workshops. The delegates used breakout sessions to identify key common challenges. Content analysis was used for the evaluation of protocols and field notes. A number of challenges to opioid accessibility in the countries was identified in the domains of knowledge and educational, regulatory, legislative, as well as public awareness and training barriers that limit opioid prescription. In addition, short validity of prescriptions and bureaucratic practices resulting in overregulation impeded availability of some essential medicines. Stigmatization and criminalisation of people who use drugs remained the major impediment to increasing opioid agonist program coverage. The challenges identified during outcomes of the workshops were used as the basis for subsequent dissemination and implementation activities in the ATOME project, and in some countries the workshop proceedings already served as a stepping-stone for the first changes in regulations and legislation.

  10. National Farmers Market Summit Proceedings Report

    OpenAIRE

    Tropp, Debra; Barham, James

    2008-01-01

    The USDA Agricultural Marketing Service (AMS), in partnership with the Farmers Market Consortium, hosted the National Farmers Market Summit November 7–9, 2007, in Baltimore, MD. The Summit assembled key stakeholders from the farmers market community to convene a national conversation on issues and challenges facing today’s farmers markets. The National Farmers Market Summit had three broad objectives: (1) Identify farmers market needs and existing gaps in assistance, (2) Prioritize future res...

  11. Australia's Supervising Teachers: Motivators and Challenges to Inform Professional Learning

    Science.gov (United States)

    Nielsen, Wendy; Mena, Juanjo; Clarke, Anthony; O'Shea, Sarah; Hoban, Garry; Collins, John

    2017-01-01

    This paper offers an overview of what motivates and challenges Australian supervising teachers to work with preservice teachers in their classrooms. In the contemporary Australian context of new National Professional Standards for Teachers, a new national curriculum and new standards for Initial Teacher Education programs, what motivates and…

  12. Ten Years After the National Accord for the Modernization of Basic Education in Mexico: Challenges, Tensions and Perspectives

    Directory of Open Access Journals (Sweden)

    Margarita Zorrilla Fierro

    2012-11-01

    Full Text Available By means of the National Accord for the Modernization of Basic Education (1992, the Mexican Educational System (MES entered into a complex reform. Unlike the previous reforms, this one decentralized the system, renewed the curriculum, produced new materials and introduced compensation programs and new methods of financing and evaluation. Junior high school was made obligatory, and the school calendar was amplified. This reform has revealed the MES’s accumulated deficiencies and fatigue, so that it seems impossible to achieve the goals of quality and equity. This essay presents a critical analysis of some elements that characterize the MES at the end of the twentieth century. It focuses on the reasons for the decentralization and the educational reform; on the challenges and tensions facing the system, and especially, it approaches the theme of institutional management and delineates a proposal for its transformation.

  13. The Challenge of Effective Teaching of Chemistry: A Case Study

    Directory of Open Access Journals (Sweden)

    Abraham AVAA

    2011-06-01

    Full Text Available Chemistry education has been identified to be one of the major bedrock for the transformation of our national economy, and hence must be accorded adequate attention. In this study, an attempt was made in ascertaining the remote causes for the poor performances reported in recent times in chemistry at the senior secondary level of education. About 80 persons were interviewed in the course of this work ranging from ex-students, students to teachers. Teacher variables, student variables and environment-related variables were investigated and the findings showed that these all contribute greatly to the poor performances of students in science subjects and chemistry in particular. The chemistry teacher, students, parents, senior secondary school administrators, curriculum planners, and the government are therefore faced with the daunting challenge of re-awaking interest and providing enabling environment for the effective teaching of chemistry in particular and the sciences in general.

  14. Technological challenges for manganese nodule mining

    Digital Repository Service at National Institute of Oceanography (India)

    Sharma, R.

    The major technological challenges of deep-sea mining venture involve delineation of mine site and development of mining technology to bring out the minerals from extreme conditions (more than 5 km water depth, 0-3 degrees C temperature and 500 bars...

  15. Tools and data for meeting America's conservation challenges

    Science.gov (United States)

    Gergely, Kevin J.; McKerrow, Alexa

    2013-01-01

    The Gap Analysis Program (GAP) produces data and tools that help meet critical national challenges such as biodiversity conservation, renewable energy development, climate change adaptation, and infrastructure investment. The GAP is managed by the U.S. Geological Survey, Department of the Interior. GAP supports a wide range of national, State, and local agencies as well as nongovernmental organizations and businesses with scientific tools and data. GAP uses a collaborative approach to do research, analysis, and data development, resulting in a history of cooperation with more than 500 agencies and organizations nationally.

  16. Challenges of 4D(ata Model for Electronic Government

    Directory of Open Access Journals (Sweden)

    Bogdan GHILIC-MICU

    2015-01-01

    Full Text Available Social evolution pyramid, built on the foundation of the ‘90s capitalist society, lead to the emergence of the informational society – years 1990 to 2005 – and knowledge society – years 2005 to 2020. The literature starts using a new concept, a new form of association – artificial intelligence society – foreseen to be established in the next time frame. All these developments of human society and translations or leaps (most of the times apparently timeless were, are and will be possible only due to the advancing information and communications technologies. The leap to Democracy 3.0, based on information and communication technologies prompts to a radical change in the majority of the classical concepts targeting society structure and the way it is guided and controlled. Thus, concepts become electronic concepts (or e-concepts through the use of new technologies. E-concepts keep the essence of the classical principles of liberty and democracy, adding a major aspect of the new way of communication and spreading ideas between people. The main problem is to quantify, analyze and foresee the way technological changes will influence not only the economic system, but also the daily life of the individual and the society. Unfortunately (or maybe fortunately, depending on the point of view, all these evolutions and technological and social developments are as many challenges for the governments of the world. In this paper we will highlight only four of the challenges facing the governments, grouped in a structured model with the following specific concepts: Big Data, Social Data, Linked Data and Mobile Data. This is an emerging paradigm of the information and communication technology supporting national and global eGovernment projects.

  17. Challenges in examining area effects across the life course on physical capability in mid-life: findings from the 1946 British Birth Cohort.

    Science.gov (United States)

    Murray, Emily T; Southall, Humphrey; Aucott, Paula; Tilling, Kate; Kuh, Diana; Hardy, Rebecca; Ben-Shlomo, Yoav

    2012-03-01

    A major limitation of past work linking area socioeconomic conditions to health in mid-life has been the reliance on single point in time measurement of area. Using the MRC National Survey of Health and Development, this study for the first time linked place of residence at three major life periods of childhood (1950), young adulthood (1972), and mid-life (1999) to area-socioeconomic data from the nearest census years. Using objective measures of physical capability as the outcome, the purpose of this study was to highlight four methodological challenges of attrition bias, secular changes in socio-economic measures, historical data availability, and changing reporting units over time. In general, standing balance and chair rise time showed clear cross-sectional associations with residing in areas with high deprivation. However, it was the process of overcoming the methodological challenges, which led to the conclusion that in this example percent low social class occupations was the most appropriate measure to use when extending cross-sectional analysis of standing balance and chair rise to life course investigation. Published by Elsevier Ltd.

  18. Challenges and Opportunities To Achieve 50% Energy Savings in Homes. National Laboratory White Papers

    Energy Technology Data Exchange (ETDEWEB)

    Bianchi, Marcus V.A. [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2011-07-01

    This report summarizes the key opportunities, gaps, and barriers identified by researchers from four national laboratories (Lawrence Berkeley National Laboratory, National Renewable Energy Laboratory, Oak Ridge National Laboratory, and Pacific Northwest National Laboratory) that must be addressed to achieve the longer term 50% saving goal for Building America to ensure coordination with the Building America industry teams who are focusing their research on systems to achieve the near-term 30% savings goal. Although new construction was included, the focus of the effort was on deep energy retrofits of existing homes.

  19. COMPLEX NETWORKS IN CLIMATE SCIENCE: PROGRESS, OPPORTUNITIES AND CHALLENGES

    Data.gov (United States)

    National Aeronautics and Space Administration — COMPLEX NETWORKS IN CLIMATE SCIENCE: PROGRESS, OPPORTUNITIES AND CHALLENGES KARSTEN STEINHAEUSER, NITESH V. CHAWLA, AND AUROOP R. GANGULY Abstract. Networks have...

  20. Research Challenges for the Internet of Things: What Role Can OR Play?

    Directory of Open Access Journals (Sweden)

    Peter J. Ryan

    2017-03-01

    Full Text Available The Internet of Things (IoT is an extension of the Internet in which large numbers of “things”, including sensors, actuators and processors, in addition to human users, are networked and able to provide high resolution data on their environment and exercise a degree of control over it. It is still at an early stage of development, and many problems/research challenges must be solved before it is widely adopted. Many of these are technical, including interoperability and scalability, as billions of heterogeneous devices will be connected, but deciding on how to invest in the IoT is a challenge for business, and there are also major social, legal and ethical challenges, including security and privacy of data collection, which must be resolved. As the future IoT will be a multi-national, multi-industry, multi-technology infrastructure, the paper reviews the global standardization efforts that are underway to facilitate its worldwide creation and adoption. The main purpose of the paper is to give a broad survey, based on published literature, of the methods of Operations Research (OR, both the mathematical tools and techniques of “hard” OR, and the various approaches of Systems Thinking, including “soft” OR, which may assist in dealing with these problems. A subset of these is described in greater depth to better convey what might be involved in applying OR and Systems Thinking to the IoT. It is suggested that OR has a role to play in balancing the technical and non-technical research challenges which confront the IoT.

  1. The Challenge. Volume 14, Number 3

    Science.gov (United States)

    US Department of Education, 2007

    2007-01-01

    "The Challenge" provides information and resources to help schools create safe and healthy learning environments for students. Articles in this issue include: (1) Research Shows Consequences of Drug Abuse on the Teenage Brain (Don Vereen); (2) Interview: NIDA [National Institute on Drug Abuse] Director Discusses Drug Abuse among Teens; (3) Know…

  2. National eHealth strategy toolkit

    CERN Document Server

    2012-01-01

    Worldwide the application of information and communication technologies to support national health-care services is rapidly expanding and increasingly important. This is especially so at a time when all health systems face stringent economic challenges and greater demands to provide more and better care especially to those most in need. The National eHealth Strategy Toolkit is an expert practical guide that provides governments their ministries and stakeholders with a solid foundation and method for the development and implementation of a national eHealth vision action plan and monitoring fram

  3. Dutch energy policies from a European perspective. Major developments in 2003

    International Nuclear Information System (INIS)

    Van Arkel, W.; Bruijn, A.; Kets, A.; De Lange, T.; Schaeffer, G.J.; Scheepers, M.; Sijm, J.; Uyterlinde, M.; Van Werven, M.

    2004-04-01

    ECN is not only active in technological research and development; it also plays a major role in policy research and development. Since national energy policy is increasingly influenced by developments at the European level and vice versa, ECN is shifting its attention from a national to a European focus. More and more, national energy and environmental policies are implemented within the framework of EU (European Union) directives, while reversibly the success of European policies is dependent on harmonised national actions in a liberalised European energy market. To demonstrate this shifting research orientation towards a European position ECN decided to highlight four major national topics that dominated policy discussions in the Netherlands during 2003 in this special publication. The first topic concerns changes in national renewable energy policy. Earlier policies had led to a dramatic increase in imports of renewable electricity with major fiscal consequences and it was decided to redress the balance towards stimulating domestic investment in renewable energy capacity. In the summer of 2003 extreme weather events led to an electricity supply crisis providing a short-term argument to look into the policy options for preventing shortages. The opportunities and limitations of demand side response to electricity supply shortages is the second topic addressed. Regarding climate change policies the most notable development undoubtedly concerns the impending implementation of a greenhouse gas emissions trading scheme. The focus in this chapter is on the interaction between the EU directive on emissions trading and the Dutch approach. As a relatively small country the Netherlands has always found it difficult to make appropriate energy research and development choices. During 2003 new directions in RD and D policies were determined. Apart from the optimal choice of nationally relevant research priorities, an additional vexing problem concerns the relative amounts of

  4. CHALLENGES AFFECTING THE TOURISM INDUSTRY IN PAKISTAN

    OpenAIRE

    Khan, Munawar

    2012-01-01

    The purpose of this thesis was to conduct to find the challenges faced by tourism industry in Pakistan. Tourism plays vital role in economic growth of a country. The countries of world, where there is nothing for tourists or traders are lagging behind from other nations of the world. Pakistan is one of those countries which rich in historical places, natural beauty, and uniqueness in handmade items and also of green forests. Present study was conducted to find the challenges being faced by to...

  5. Challenges in oral drug delivery in patients with esophageal dysphagia

    NARCIS (Netherlands)

    Kappelle, W.F.; Siersema, P.D.; Bogte, A.; Vleggaar, F.P.

    2016-01-01

    INTRODUCTION: Esophageal dysphagia is a commonly reported symptom with various benign and malignant causes. Esophageal dysphagia can impede intake of oral medication, which often poses a major challenge for both patients and physicians. The best way to address this challenge depends of the cause of

  6. Methodological Challenges of Research in Nudging

    NARCIS (Netherlands)

    Kleef, van E.; Trijp, van J.C.M.

    2018-01-01

    Complex societal issues, related to health and sustainability, provide major challenges to scientists, business managers, and policy makers alike. Despite their diversity, these issues have in common that effective solutions to public health (e.g., reducing prevalence of overweight and obesity) and

  7. Presidential Green Chemistry Challenge: 1998 Greener Reaction Conditions Award

    Science.gov (United States)

    Presidential Green Chemistry Challenge 1998 award winner, Argonne National Laboratory, developed an efficient, membrane-based process to synthesize lactate esters from sugars. These esters can replace toxic solvents.

  8. Progress and challenges in maternal health in western China: a Countdown to 2015 national case study

    Directory of Open Access Journals (Sweden)

    Yanqiu Gao, PhD

    2017-05-01

    Full Text Available Summary: Background: China is one of the few Countdown countries to have achieved Millennium Development Goal 5 (75% reduction in maternal mortality ratio between 1990 and 2015. We aimed to examine the health systems and contextual factors that might have contributed to the substantial decline in maternal mortality between 1997 and 2014. We chose to focus on western China because poverty, ethnic diversity, and geographical access represent particular challenges to ensuring universal access to maternal care in the region. Methods: In this systematic assessment, we used data from national census reports, National Statistical Yearbooks, the National Maternal and Child Health Routine Reporting System, the China National Health Accounts report, and National Health Statistical Yearbooks to describe changes in policies, health financing, health workforce, health infrastructure, coverage of maternal care, and maternal mortality by region between 1997 and 2014. We used a multivariate linear regression model to examine which contextual and health systems factors contributed to the regional variation in maternal mortality ratio in the same period. Using data from a cross-sectional survey in 2011, we also examined equity in access to maternity care in 42 poor counties in western China. Findings: Maternal mortality declined by 8·9% per year between 1997 and 2014 (geometric mean ratio for each year 0·91, 95% CI 0·91–0·92. After adjusting for GDP per capita, length of highways, female illiteracy, the number of licensed doctors per 1000 population, and the proportion of ethnic minorities, the maternal mortality ratio was 118% higher in the western region (2·18, 1·44–3·28 and 41% higher in the central region (1·41, 0·99–2·01 than in the eastern region. In the rural western region, the proportion of births in health facilities rose from 41·9% in 1997 to 98·4% in 2014. Underpinning such progress was the Government's strong commitment to long

  9. Gender bias in Iranian living kidney transplantation program: a national report.

    Science.gov (United States)

    Taheri, Saeed; Alavian, Seyed M; Einollahi, Behzad; Nafar, Mohsen

    2010-01-01

    Strong challenges exist about living kidney transplantation practices worldwide. One of these concerns is based on the observation that in many places women constitute the majority of living kidney donors but the minority of recipients. We studied this issue in Iran by using national data for kidney transplantation. Data of the Iranian national registry for kidney transplantation which comprises data of all renal transplantations performed in the country during a 22 yr period were included in the study. Data of 16,672 living donors (living related [LR]=16%, living unrelated [LUR]=86%) were analyzed. Males received 62.2% of all kidney transplants. From 16,672 living donors, 20% and 80% were women and men, respectively. Recipients were more likely to receive kidney allograft from their own gender groups (pgender. In contrast with previous reports from other countries, this study of Iranian national data revealed that in Iran, most related and unrelated living kidney donors are male and the percentage of recipients who are female exceeds the percentage of donors who are female. Considering previous reports from other countries, our findings suggest that Iran is the only country in which females are more likely to be recipients of a kidney allograft than donors. The reason for the predominance of male kidney donors in Iran is probably multifactorial and associated with economical, social and cultural issues. The financial incentives paid to living unrelated donors may be an attraction for males to donate a kidney although, even in living related donations, males constitute the majority of donors. © 2009 John Wiley & Sons A/S.

  10. 43 CFR 46.170 - Environmental effects abroad of major Federal actions.

    Science.gov (United States)

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Environmental effects abroad of major... IMPLEMENTATION OF THE NATIONAL ENVIRONMENTAL POLICY ACT OF 1969 Protection and Enhancement of Environmental Quality § 46.170 Environmental effects abroad of major Federal actions. (a) In order to facilitate...

  11. Prenatal screening for major congenital heart disease: assessing performance by combining national cardiac audit with maternity data.

    Science.gov (United States)

    Gardiner, Helena M; Kovacevic, Alexander; van der Heijden, Laila B; Pfeiffer, Patricia W; Franklin, Rodney Cg; Gibbs, John L; Averiss, Ian E; Larovere, Joan M

    2014-03-01

    Determine maternity hospital and lesion-specific prenatal detection rates of major congenital heart disease (mCHD) for hospitals referring prenatally and postnatally to one Congenital Cardiac Centre, and assess interhospital relative performance (relative risk, RR). We manually linked maternity data (3 hospitals prospectively and another 16 retrospectively) with admissions, fetal diagnostic and surgical cardiac data from one Congenital Cardiac Centre. This Centre submits verified information to National Institute for Cardiovascular Outcomes Research (NICOR-Congenital), which publishes aggregate antenatal diagnosis data from infant surgical procedures. We included 120 198 unselected women screened prospectively over 11 years in 3 maternity hospitals (A, B, C). Hospital A: colocated with fetal medicine, proactive superintendent, on-site training, case-review and audit, hospital B: on-site training, proactive superintendent, monthly telemedicine clinics, and hospital C: sonographers supported by local obstetrician. We then studied 321 infants undergoing surgery for complete transposition (transposition of the great arteries (TGA), n=157) and isolated aortic coarctation (CoA, n=164) screened in hospitals A, B, C prospectively, and 16 hospitals retrospectively. 385 mCHD recorded prospectively from 120 198 (3.2/1000) screened women in 3 hospitals. Interhospital relative performance (RR) in Hospital A:1.68 (1.4 to 2.0), B:0.70 (0.54 to 0.91), C:0.65 (0.5 to 0.8). Standardised prenatal detection rates (funnel plots) demonstrating inter-hospital variation across 19 hospitals for TGA (37%, 0.00 to 0.81) and CoA (34%, 0.00 to 1.06). Manually linking data sources produced hospital-specific and lesion-specific prenatal mCHD detection rates. More granular, rather than aggregate, data provides meaningful feedback to improve screening performance. Automatic maternal and infant record linkage on a national scale, requires verified, prospective maternity audit and integration of

  12. Challenges to Business Excellence: Some Empirical Evidence

    Directory of Open Access Journals (Sweden)

    Brown Alan

    2014-11-01

    Full Text Available The business excellence models are used by many organisations around the world as a strategic driver for business improvement and in some cases as the basis for applications for awards based on the models. These include the Baldrige, EFQM, Australian Business Excellence Framework and many other national and regional models. Whilst many award recipients showcase their achievements, comparatively little is known about the challenges and impediments they face in reaching and sustaining high levels of success as evidenced by winning awards. This paper seeks to identify challenges faced by examining the experience of a sample of Australian Business Excellence Award winners. Findings suggest that the primary challenges include; leadership support, drive and consistency throughout the organisation and communicating strategy and making it meaningful for people at all levels. The study also found variability in challenges across organisations.

  13. The U.S. Forest Service's analysis of cumulative effects to wildlife: A study of legal standards, current practice, and ongoing challenges on a National Forest

    International Nuclear Information System (INIS)

    Schultz, Courtney A.

    2012-01-01

    Cumulative effects analysis (CEA) allows natural resource managers to understand the status of resources in historical context, learn from past management actions, and adapt future activities accordingly. U.S. federal agencies are required to complete CEA as part of environmental impact assessment under the National Environmental Policy Act (NEPA). Past research on CEA as part of NEPA has identified significant deficiencies in CEA practice, suggested methodologies for handling difficult aspects of CEA, and analyzed the rise in litigation over CEA in U.S. courts. This article provides a review of the literature and legal standards related to CEA as it is done under NEPA and then examines current practice on a U.S. National Forest, utilizing qualitative methods in order to provide a detailed understanding of current approaches to CEA. Research objectives were to understand current practice, investigate ongoing challenges, and identify impediments to improvement. Methods included a systematic review of a set of NEPA documents and semi-structured interviews with practitioners, scientists, and members of the public. Findings indicate that the primary challenges associated with CEA include: issues of both geographic and temporal scale of analysis, confusion over the purpose of the requirement, the lack of monitoring data, and problems coordinating and disseminating data. Improved monitoring strategies and programmatic analyses could support improved CEA practice.

  14. Osteomyelitis: a current challenge

    Directory of Open Access Journals (Sweden)

    Luciana Souza Jorge

    Full Text Available Over the last 30 years, the pathogenesis of osteomyelitis has almost been totally elucidated, and many factors responsible for the persistence of this infection have been identified. Numerous antimicrobial agents with distinct spectrums of action, pharmacokinetics, and pharmacodynamics have been used in its treatment. Surgical techniques, including muscle grafts, the Ilizarov technique, and antibiotic bone cements, have been applied. However, bone infections are still a challenge. Despite the importance of isolation and identification of microorganisms to determine the antimicrobial treatment of bone infections, there are few systematic national studies about the etiological profile of these diseases. This article describes the current knowledge of osteomyelitis and summarizes published national data based on the experience of different Orthopedic and Traumatology Services. In general, S. aureus was described as an important etiological agent; however, the difference in design of national studies makes a comparison between the prevalence of bone infection, the associated risk factors, and the different therapeutic approaches difficult. In conclusion, effort is necessary in order to stimulate systematic national studies in different Orthopedics and Traumatology Services to obtain a better consensus on preventive measures and therapies of bone infections.

  15. EPA Leadership on Science, Innovation, and Decision Support Tools for Addressing Current and Future Challenges.

    Science.gov (United States)

    Hecht, Alan D; Ferster, Aaron; Summers, Kevin

    2017-10-16

    When the U.S. Environmental Protection Agency (EPA) was established nearly 50 years ago, the nation faced serious threats to its air, land, and water, which in turn impacted human health. These threats were effectively addressed by the creation of EPA (in 1970) and many subsequent landmark environmental legislations which in turn significantly reduced threats to the Nation's environment and public health. A key element of historic legislation is research aimed at dealing with current and future problems. Today we face national and global challenges that go beyond classic media-specific (air, land, water) environmental legislation and require an integrated paradigm of action and engagement based on (1) innovation based on science and technology, (2) stakeholder engagement and collaboration, and (3) public education and support. This three-pronged approach recognizes that current environmental problems, include social as well as physical and environmental factors, are best addressed through collaborative problem solving, the application of innovation in science and technology, and multiple stakeholder engagement. To achieve that goal, EPA's Office of Research and Development (ORD) is working directly with states and local communities to develop and apply a suite of accessible decision support tools (DST) that aim to improve environmental conditions, protect human health, enhance economic opportunity, and advance a resilient and sustainability society. This paper showcases joint EPA and state actions to develop tools and approaches that not only meet current environmental and public health challenges, but do so in a way that advances sustainable, healthy, and resilient communities well into the future. EPA's future plans should build on current work but aim to effectively respond to growing external pressures. Growing pressures from megatrends are a major challenge for the new Administration and for cities and states across the country. The recent hurricanes hitting

  16. Diagnostics of ST Plasmas in NSTX: Challenges and Opportunities

    International Nuclear Information System (INIS)

    Johnson, D.; Efthimion, P.; Foley, J.; Jones, B.; Mazzucato, E.; Park, H.; Taylor, G.; Levinton, F.; Luhmann, N.

    2001-01-01

    This paper will highlight some of the challenges and opportunities present in the diagnosis of spherical torus (ST) plasmas on the National Spherical Torus Experiment (NSTX) and discuss the corresponding diagnostic development that is presently underway. After a brief description of diagnostic systems currently installed, examples of ST-specific diagnostic challenges will be highlighted, as will another case, where the ST configuration offers opportunities for new measurements

  17. The diesel challenge

    International Nuclear Information System (INIS)

    Tobin, Geoff

    1997-01-01

    This article is focused on the challenges being faced by the diesel producer and these include a number of interesting developments which illustrate the highly competitive world of the European refiner. These include: The tightening quality requirements being legislated coupled with the availability of the ''city diesel'' from Scandinavia and elsewhere which is already being sold into the market. For a time there will be a clear means of product differentiation. One of the key questions is whether the consumer will value the quality difference; a growing demand for diesel which is outstripping the growth in gasoline demand and causing refiners headaches when it comes to balancing their supply/demand barrels; the emergence of alternative fuels which are challenging the traditional markets of the refiner and in particular, the niche markets for the higher quality diesel fuels. All of this at a time of poor margins and over-capacity in the industry with further major challenges ahead such as fuel oil disposal, tighter environmental standards and the likelihood of heavier, higher sulphur crude oils in the future. Clearly, in such a difficult and highly-competitive business environment it will be important to find low-cost solutions to the challenges of the diesel quality changes. An innovative approach will be required to identify the cheapest and best route to enable the manufacture of the new quality diesel. (Author)

  18. Makerere University College of Health Sciences’ role in addressing challenges in health service provision at Mulago National Referral Hospital

    Directory of Open Access Journals (Sweden)

    Sekandi Juliet

    2011-03-01

    Full Text Available Abstract Background Mulago National Referral Hospital (MNRH, Uganda’s primary tertiary and teaching hospital, and Makerere University College of Health Sciences (MakCHS have a close collaborative relationship. MakCHS students complete clinical rotations at MNRH, and MakCHS faculty partner with Mulago staff in clinical care and research. In 2009, as part of a strategic planning process, MakCHS undertook a qualitative study to examine care and service provision at MNRH, identify challenges, gaps, and solutions, and explore how MakCHS could contribute to improving care and service delivery at MNRH. Methods Key informant interviews (n=23 and focus group discussions (n=7 were conducted with nurses, doctors, administrators, clinical officers and other key stakeholders. Interviews and focus groups were tape recorded and transcribed verbatim, and findings were analyzed through collaborative thematic analysis. Results Challenges to care and service delivery at MNRH included resource constraints (staff, space, equipment, and supplies, staff inadequacies (knowledge, motivation, and professionalism, overcrowding, a poorly functioning referral system, limited quality assurance, and a cumbersome procurement system. There were also insufficiencies in the teaching of professionalism and communication skills to students, and patient care challenges that included lack of access to specialized services, risk of infections, and inappropriate medications. Suggestions for how MakCHS could contribute to addressing these challenges included strengthening referral systems and peripheral health center capacity, and establishing quality assurance mechanisms. The College could also strengthen the teaching of professionalism, communication and leadership skills to students, and monitor student training and develop courses that contribute to continuous professional development. Additionally, the College could provide in-service education for providers on professionalism

  19. Global Challenge: Save the World on Your Way to College

    Science.gov (United States)

    Gibson, David; Grasso, Susan Hull

    2007-01-01

    This article describes how the Global Challenge allows high school students to do something for the environment while winning an award that will help them financially through college. The Global Challenge is an online competition for high school students across the world. Students from other nations can pair up with students in the U.S. and…

  20. National scale-up of integrated community case management in rural Ethiopia: implementation and early lessons learned.

    Science.gov (United States)

    2014-10-01

    Although under-five mortality in Ethiopia has decreased 67% in the past two decades, many, children still die from preventable or treatable conditions, mainly pneumonia, newborn problems, diarrhea, malaria and malnutrition. Most of these deaths can be avoided with timely and appropriate care, but access to and use of treatment remains inadequate. Community health workers, appropriately trained, supervised, and supplied with essen- tial equipment and medicines, can deliver case management or referral to most sick children. In 2010, Ethiopia added pneumonia to diarrhea, malaria and severe acute malnutrition, targeted for treatment in the integrated community case management (iCCM) strategy. This article describes the national scale-up of iCCM implementation and early lessons learned. We reviewed data related to iCCM program inputs and processes from reports, minutes, and related documents from January 2010 through July 2013. We describe introduction and scale-up through eight health system components. The government and partners trained and supplied 27,116 of the total 32,000 Health Extension Workers and mentored 80% of them to deliver iCCM services to over one million children. The government led a strong-iCCM partnership that attracted development partners in implementation, monitoring, evaluation, and research. Service utilization and weak supply chain remain-major challenges. Strong MOH leadership, policy support, and national partnerships helped successful national iCCM scale-up and should help settle remaining challenges.

  1. National disease management plans for key chronic non-communicable diseases in Singapore.

    Science.gov (United States)

    Tan, C C

    2002-07-01

    In Singapore, chronic, non-communicable diseases, namely coronary heart disease, stroke and cancer, account for more than 60% of all deaths and a high burden of disability and healthcare expenditure. The burden of these diseases is likely to rise with our rapidly ageing population and changing lifestyles, and will present profound challenges to our healthcare delivery and financing systems over the next 20 to 30 years. The containment and optimal management of these conditions require a strong emphasis on patient education and the development of integrated models of healthcare delivery in place of the present uncoordinated, compartmentalised way of delivering healthcare. To meet these challenges, the Ministry of Health's major thrusts are disease control measures which focus mainly on primary prevention; and disease management, which coordinates the national effort to reduce the incidence of these key diseases and their predisposing factors and to ameliorate their long-term impact by optimising control to reduce mortality, morbidity and complications, and improving functional status through rehabilitation. The key initiatives include restructuring of the public sector healthcare institutions into two clusters, each comprising a network of primary health care polyclinics, regional hospitals and tertiary institutions. The functional integration of these healthcare elements within each cluster under a common senior administrative and professional management, and the development of common clinical IT systems will greatly facilitate the implementation of disease management programmes. Secondly, the Ministry is establishing National Disease Registries in coronary heart disease, cancer, stroke, myopia and kidney failure, which will be valuable sources of clinical and outcomes data. Thirdly, in partnership with expert groups, national committees and professional agencies, the Ministry will produce clinical practice guidelines which will assist doctors and healthcare

  2. Courage under Fire: Duval County's School Board Chair Faces a Major Leadership Challenge

    Science.gov (United States)

    Fossey, Richard; Jenkins, Lynn

    2011-01-01

    This case set in Jacksonville, Florida, covers the years 1998 to 2001. A new nontraditional superintendent, Major General John C. Fryer, focuses on student achievement, but financial needs and Florida law require him to bid contracts for student transportation, upsetting a 50-year pattern of contracting without competitive bidding with more than…

  3. Major workplace related accidents in Singapore: A major trauma centre's experience.

    Science.gov (United States)

    Ng, Zhi Xu; Teo, Li Tserng; Go, Karen T S; Yeo, Yen Teng; Chiu, Ming Terk

    2010-12-01

    Major workplace related accidents pose a significant healthcare resource challenge in Singapore. Our study looks at the epidemiology of patients who were admitted for workplace related accidents, in a single institution, with an Injury Severity Score of >9. There were 196 cases of major workplace related accidents admitted between January 2006 and December 2007. The median age of patients admitted was 37 years with a large percentage being males (95.4%) and non-residents (57.1%). The most common ethnic group was Chinese (53.1%) followed by Indians (23.5%). The most common mechanism of injury was fall from height (66.3%) followed by injuries as a result of falling objects at work (21.9%). The percentage of patients who required surgical intervention was 69.9%. Patients admitted for major workplace related accidents had a median length of stay of 5 days in the hospital, a median length of 24 days of medical leave (ML), certifying them unfit for duty and the average cost of stay for each patient was S$11,000. We have a better understanding of the epidemiology and socio-economic impact of workplace related accidents through this study. Workplace related accidents result in significant number of man-days lost from work and monetary cost to employers, medical insurance and the hospital. With an improved understanding, we propose methods to prevent and reduce such accidents in future. A direct consequence of which will be the possible reduction of hospitalisation costs and better allocation of healthcare resources in the future.

  4. International challenges without borders: a descriptive study of family physicians' educational needs in the field of diabetes

    Directory of Open Access Journals (Sweden)

    Posel Peter

    2011-05-01

    Full Text Available Abstract Background The optimal care of persons with diabetes by general practitioners and family physicians (GP/FP is complex and requires multiple competencies. This is a fairly unrecognized key challenge in the healthcare systems. In some cases, local and national Continuous Professional Development (CPD initiatives target these challenges; however there have been few international initiatives, possibly because challenges emerging from different studies have not been linked across national boundaries. In this context, the authors have compiled data about gaps and/or barriers inherent to GP/FP care of persons with type 2 diabetes from Austria, Canada, Germany and the United Kingdom. Methods Secondary analyzes of pre-existing studies were conducted to identify challenges in the care of patients with type 2 diabetes as faced by GPs/FPs. Two sources of data were reviewed: unpublished research data from collaborating organizations and articles from a literature search (in English and German. Articles retrieved were scanned by the research team for relevance to the study objectives and to extract existing gaps and barriers. The identified challenges were then categorized along three major axes: (1 phase of the continuum of care {from screening to management}; (2 learning domain {knowledge, skills, attitudes, behavior, context}; and (3 by country/region. Compilation and categorization were performed by qualitative researchers and discrepancies were resolved through discussion until concordance was achieved. Results and discussion Thirteen challenges faced by GPs/FPs in the care for patients with type 2 diabetes were common in at least 3 of the 4 targeted countries/regions. These issues were found across the entire continuum of care and included: pathophysiology of diabetes, diagnostic criteria, treatment targets assessment, drugs' modes of action, decision-making in therapies, treatment guidelines, insulin therapy, adherence, management of

  5. Major life events and risk of Parkinson's disease

    DEFF Research Database (Denmark)

    Rod, Naja Hulvej; Hansen, Johnni; Schernhammer, Eva

    2010-01-01

    major life events are risk factors for Parkinson's disease. Between 1986 and 2006, we identified 13,695 patients with a (PD) primary diagnosis of PD in the Danish National Hospital Register. Each case was frequency matched by age and gender to five population controls. Information on major life events...... before onset of PD was ascertained from national registries. Among men, number of life events was associated with risk of Parkinson's disease in an inverse dose-response manner (P ....34-0.99). Life events were not associated with PD in women. In contrast, a higher risk of PD was observed among women who had never been married (1.16; 1.04-1.29) and among men (1.47; 1.18-1.82) and women (1.30; 1.05-1.61) who have never been employees. The lower risk of Parkinson's disease among men who had...

  6. Adult congenital heart disease in Greece: Preliminary data from the CHALLENGE registry.

    Science.gov (United States)

    Giannakoulas, G; Vasiliadis, K; Frogoudaki, A; Ntellos, C; Tzifa, A; Brili, S; Manginas, A; Papaphylactou, M; Parcharidou, D; Kampouridis, N; Pitsis, A; Chamaidi, A; Kolios, M; Papadopoulos, G; Douras, A; Davlouros, P; Ntiloudi, D; Karvounis, H; Kalangos, A; Tsioufis, C; Rammos, S

    2017-10-15

    The majority of patients with congenital heart disease (CHD), nowadays, survives into adulthood and is faced with long-term complications. We aimed to study the basic demographic and clinical characteristics of adult patients with congenital heart disease (ACHD) in Greece. A registry named CHALLENGE (Adult Congenital Heart Disease Registry. A registry from Hellenic Cardiology Society) was initiated in January 2012. Patients with structural CHD older than 16years old were enrolled by 16 specialized centers nationwide. Out of a population of 2115 patients with ACHD, who have been registered, (mean age 38years (SD 16), 52% women), 47% were classified as suffering from mild, 37% from moderate and 15% from severe ACHD. Atrial septal defect (ASD) was the most prevalent diagnosis (33%). The vast majority of ACHD patients (92%) was asymptomatic or mildly symptomatic (NYHA class I/II). The most symptomatic patients were suffering from an ASD, most often the elderly or those under targeted therapy for pulmonary arterial hypertension. Elderly patients (>60years old) accounted for 12% of the ACHD population. Half of patients had undergone at least one open-heart surgery, while 39% were under cardiac medications (15% under antiarrhythmic drugs, 16% under anticoagulants, 16% under medications for heart failure and 4% under targeted therapy for pulmonary arterial hypertension). ACHD patients are an emerging patient population and national prospective registries such as CHALLENGE are of unique importance in order to identify the ongoing needs of these patients and match them with the appropriate resource allocation. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Nuclear energy safety - new challenges

    Energy Technology Data Exchange (ETDEWEB)

    Rausch, Julio Cezar; Fonseca, Renato Alves da, E-mail: jrausch@cnen.gov.b, E-mail: rfonseca@cnen.gov.b [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil)

    2011-07-01

    Fukushima accident in March this year, the second most serious nuclear accident in the world, put in evidence a discussion that in recent years with the advent of the 'nuclear renaissance' has been relegated in the background: what factors influence the use safe nuclear energy? Organizational precursor, latent errors, reduction in specific areas of competence and maintenance of nuclear programs is a scenario where the guarantee of a sustainable development of nuclear energy becomes a major challenge for society. A deep discussion of factors that influenced the major accidents despite the nuclear industry use of the so-called 'lessons learned' is needed. Major accidents continue to happen if a radical change is not implemented in the focus of safety culture. (author)

  8. Nuclear energy safety - new challenges

    International Nuclear Information System (INIS)

    Rausch, Julio Cezar; Fonseca, Renato Alves da

    2011-01-01

    Fukushima accident in March this year, the second most serious nuclear accident in the world, put in evidence a discussion that in recent years with the advent of the 'nuclear renaissance' has been relegated in the background: what factors influence the use safe nuclear energy? Organizational precursor, latent errors, reduction in specific areas of competence and maintenance of nuclear programs is a scenario where the guarantee of a sustainable development of nuclear energy becomes a major challenge for society. A deep discussion of factors that influenced the major accidents despite the nuclear industry use of the so-called 'lessons learned' is needed. Major accidents continue to happen if a radical change is not implemented in the focus of safety culture. (author)

  9. Nuclear energy safety - new challenges

    Energy Technology Data Exchange (ETDEWEB)

    Rausch, Julio Cezar; Fonseca, Renato Alves da, E-mail: jrausch@cnen.gov.b, E-mail: rfonseca@cnen.gov.b [Comissao Nacional de Energia Nuclear (CNEN), Rio de Janeiro, RJ (Brazil)

    2011-07-01

    Fukushima accident in March this year, the second most serious nuclear accident in the world, put in evidence a discussion that in recent years with the advent of the 'nuclear renaissance' has been relegated in the background: what factors influence the use safe nuclear energy? Organizational precursor, latent errors, reduction in specific areas of competence and maintenance of nuclear programs is a scenario where the guarantee of a sustainable development of nuclear energy becomes a major challenge for society. A deep discussion of factors that influenced the major accidents despite the nuclear industry use of the so-called 'lessons learned' is needed. Major accidents continue to happen if a radical change is not implemented in the focus of safety culture. (author)

  10. Dosimetry challenges for implementing emerging technologies

    Energy Technology Data Exchange (ETDEWEB)

    Yin Fangfang; Oldham, Mark; Cai Jing; Wu Qiuwen, E-mail: Fangfang.yin@duke.ed [Department of Radiation Oncology Duke University Medical Center, Durham, NC 27516 (United States)

    2010-11-01

    During the last 10 years, radiation therapy technologies have gone through major changes, mainly related introduction of sophisticated delivery and imaging techniques to improve the target localization accuracy and dose conformity. While implementation of these emerging technologies such as image-guided SRS/SBRT, IMRT/IMAT, IGRT, 4D motion management, and special delivery technologies showed substantial clinical gains for patient care, many other factors, such as training/quality, efficiency/efficacy, and cost/effectiveness etc. remain to be challenging. This talk will address technical challenges for dosimetry verification of implementing these emerging technologies in radiation therapy.

  11. Major Depressive Disorder

    Directory of Open Access Journals (Sweden)

    G Grobler

    2013-08-01

    Full Text Available The treatment guideline draws on several international guidelines: (iPractice Guidelines of the American Psychiatric Association (APAfor the Treatment of Patients with Major Depressive Disorder, SecondEdition;[1](ii Clinical Guidelines for the Treatment of DepressiveDisorders by the Canadian Psychiatric Association and the CanadianNetwork for Mood and Anxiety Treatments (CANMAT;[2](iiiNational Institute for Clinical Excellence (NICE guidelines;[3](iv RoyalAustralian and New Zealand College of Psychiatrists Clinical PracticeGuidelines Team for Depression (RANZCAP;[4](v Texas MedicationAlgorithm Project (TMAP Guidelines;[5](vi World Federation ofSocieties of Biological Psychiatry (WFSBP Treatment Guideline forUnipolar Depressive Disorder;[6]and (vii British Association forPsychopharmacology Guidelines.[7

  12. Improving National Capability in Biogeochemical Flux Modelling: the UK Environmental Virtual Observatory (EVOp)

    Science.gov (United States)

    Johnes, P.; Greene, S.; Freer, J. E.; Bloomfield, J.; Macleod, K.; Reaney, S. M.; Odoni, N. A.

    2012-12-01

    The best outcomes from watershed management arise where policy and mitigation efforts are underpinned by strong science evidence, but there are major resourcing problems associated with the scale of monitoring needed to effectively characterise the sources rates and impacts of nutrient enrichment nationally. The challenge is to increase national capability in predictive modelling of nutrient flux to waters, securing an effective mechanism for transferring knowledge and management tools from data-rich to data-poor regions. The inadequacy of existing tools and approaches to address these challenges provided the motivation for the Environmental Virtual Observatory programme (EVOp), an innovation from the UK Natural Environment Research Council (NERC). EVOp is exploring the use of a cloud-based infrastructure in catchment science, developing an exemplar to explore N and P fluxes to inland and coastal waters in the UK from grid to catchment and national scale. EVOp is bringing together for the first time national data sets, models and uncertainty analysis into cloud computing environments to explore and benchmark current predictive capability for national scale biogeochemical modelling. The objective is to develop national biogeochemical modelling capability, capitalising on extensive national investment in the development of science understanding and modelling tools to support integrated catchment management, and supporting knowledge transfer from data rich to data poor regions, The AERC export coefficient model (Johnes et al., 2007) has been adapted to function within the EVOp cloud environment, and on a geoclimatic basis, using a range of high resolution, geo-referenced digital datasets as an initial demonstration of the enhanced national capacity for N and P flux modelling using cloud computing infrastructure. Geoclimatic regions are landscape units displaying homogenous or quasi-homogenous functional behaviour in terms of process controls on N and P cycling

  13. Health Journalism: Health Reporting Status and Challenges.

    Science.gov (United States)

    Keshvari, Mahrokh; Yamani, Niko; Adibi, Peyman; Shahnazi, Hossein

    2018-01-01

    Media play crucial role in disseminating health information. Due to the importance of accurate health news reports, and the national need to professionalism in health journalism, this study aimed to investigate the characteristics of health journalists, and health reporting status and the challenges involved. Using consensus sampling, this descriptive cross-sectional study was conducted on all health news reporters in Isfahan (34 journalists) in 2015-2016. Data collection was done via a researcher-made questionnaire. Content validity of the questionnaire was determined by qualitative method and based on the opinions of six experts. The test-retest reliability coefficient was 98.0. Data analysis was done by Statistical Package for the Social Sciences, version 16 and descriptive statistics and content analysis were used for analyzing the responses to two open questions. Among 34 journalists, 56% were women and 44% men; the majority of journalists (65%) had no specialized training on health reporting, 35% of journalists were not able to understand the health issues, and the knowledge of medical terminology in 59% of them was moderate to low. The most important required skill for reporters was the ability to interpret medical research reports (88%), 97% were eager to participate in specialized health education. Our study showed that health journalists lacked knowledge and specialized training for dissemination of health news. This has brought about serious challenges. Thus, development and implementation of training courses in close collaboration with educational department of the Ministry of Health and news programs professionals at Islamic Republic of Iran Broadcasting is highly recommended.

  14. Refugee health and rehabilitation: Challenges and response.

    Science.gov (United States)

    Khan, Fary; Amatya, Bhasker

    2017-05-16

    The current global refugee crisis poses major challenges in providing effective healthcare to refugees, particularly for non-communicable diseases management and disability. This article provides an overview of refugee health and potential challenges from the rehabilitation perspective. A literature search (both academic and grey literature) was conducted using medical and health science electronic databases and internet search engines (2001-2016). Both authors independently selected studies. Due to heterogeneity amongst identified articles, a narrative analysis was performed for best-evidence synthesis to outline the current health and rehabilitation status of refugees and existing gaps in care. Data suggest that infectious diseases requiring treatment in refugees are a minority; whilst non-communicable diseases, musculoskeletal conditions are prevalent. Many refugees arrive with complex health needs. One in 6 refugees have a physical health problem severely affecting their lives and two-thirds experience mental health problems, signifying the important role of rehabilitation. Refugees face continued disadvantage, poverty and dependence due to lack of cohesive support in their new country, which are determinants of both poor physical and mental health. This is compounded by language barriers, impoverishment, and lack of familiarity with the local environment and healthcare system. In Australia, there are concerns about sexual and gender-based violence in off-shore detention camps. Targeted physical and cognitive rehabilitative strategies have much to offer these vulnerable people to allow for improved activity and participation. Strong leadership and effective action from national and international bodies is urgently needed to develop comprehensive rehabilitation-inclusive medical care for refugees.

  15. The Growth of the Japanese Economy: Challenges to American National Security

    Science.gov (United States)

    1991-09-01

    is continuing to widen; 2. If the Fortune 500 began ranked American subsidiaries of Japanese-owned companies like Nissan , Sony, and Honda , " . they...reported that he had sent about 500 letters and resumes to companies including Mazda, Toyota , and Nissan , describing himself as ’uniquely qualified to... comparable periods of major histori- cal transition. Unlike those earlier periods, no major new military threat is likely to replace the old one anytime

  16. Loyalty programs challenges in retail banking industry

    OpenAIRE

    Ivanauskienė, Neringa; Auruškevičienė, Viltė

    2009-01-01

    The purpose of this paper is to examine the challenges of loyalty programs in retail banks in Lithuania. Case study methodology was chosen to analyze the loyalty programs launched by various banks to show how banks are building the loyalty of individual customers and what challenges these banks face. The findings suggest that the majority of analyzed loyalty programs reward a repeat purchasing. Lithuanian retail banks launching loyalty programs for two customer segments - the potentially prof...

  17. Past approaches and future challenges to the management of fire and invasive alien plants in the new Garden Route National Park

    Directory of Open Access Journals (Sweden)

    Richard M. Cowling

    2011-09-01

    Full Text Available The recently established Garden Route National Park (GRNP along the Cape south coast of South Africa occurs in a landscape where indigenous forests, fire-prone fynbos shrublands and fire-sensitive plantations of alien invasive trees are interspersed. We used the area as a case study in the challenges facing conservation managers in the achievement of biodiversity goals in a fire-prone environment. We explored the context within which fire management was practised during the past century by interviewing former catchment managers and reviewing forestry and catchment management policies. Mountain fynbos adjacent to plantations was subjected to burning regimes aimed at the protection of commercial timber resources rather than the preservation of fynbos biodiversity. Prescribed burning of fynbos adjacent to the plantations was typically done in multiple belt systems at rotations of about 4–8 years during spring, summer and autumn, to avoid the winter berg wind season. Such short-rotation and low-intensity fires favour resprouting graminoids over slow-maturing reseeders, and likely account for the compositional impoverishment observed in fynbos near plantations. Current and future challenges faced by the GRNP include (1 balancing conflicting fire management requirements for plantation safety against fynbos conservation; (2 the continual invasion of fynbos by fire-propagated alien pines sourced from plantations; (3 inadequate resources to redress the ‘invasion debt’ caused by the socio-economic legacy and past management neglect; and (4 fragmentation of land use between conservation and forestry threatening the sustainability of the region at large. We provide recommendations for management actions and research priorities to address these challenges.

  18. NASA Engineering Design Challenges: Environmental Control and Life Support Systems. Water Filtration Challenge. EG-2008-09-134-MSFC

    Science.gov (United States)

    Schneider, Twila, Ed.

    2010-01-01

    This educator guide is organized into seven chapters: (1) Overview; (2) The Design Challenge; (3) Connections to National Curriculum Standards; (4) Preparing to Teach; (5) Classroom Sessions; (6) Opportunities for Extension; and (7) Teacher Resources. Chapter 1 provides information about Environmental Control and Life Support Systems used on NASA…

  19. Major economies Forum on energy and climate

    International Nuclear Information System (INIS)

    2009-01-01

    The Major Economies Forum is intended to facilitate an open dialogue among major developed and developing economies, help generate the political leadership necessary to achieve a successful outcome at the United Nations climatic change conference in Copenhagen, and advance the exploration of concrete initiatives and joint ventures that increase the supply of clean energy while cutting greenhouse gas emissions. The Forum's second preparatory meeting was held in Paris in May 2009, mainly focused on greenhouse gas emissions reduction actions and objectives, the diffusion of clean technologies, the financing of activities for climate protection and adaptation to climatic change impacts

  20. Emerging bio-ethanol projects in Nigeria. Their opportunities and challenges

    International Nuclear Information System (INIS)

    Ohimain, Elijah I.

    2010-01-01

    Despite being a major petroleum producing and exporting country, Nigeria has for a long time imported refined petroleum products for domestic consumption. The country has recently made an entrance into the bio-energy sector by seeding the market with imported ethanol until enough capability exists for the domestic production of ethanol. The Nigerian Biofuel Policy was released in 2007 calling for the domestic production of bio-ethanol to meet the national demand of 5.14 billion litres/year. Some investors have responded by investing over $3.86 billion for the construction of 19 ethanol bio-refineries, 10,000 units of mini-refineries and feedstock plantations for the production of over 2.66 billion litres of fuel grade ethanol per annum. Also, another 14 new projects are in the offing. Of the 20 pioneer projects, 4 are at the conception phase, 8 are in the planning phase, and 7 are under construction with only 1 operational. The potential benefits of the emerging bio-ethanol projects include investment in the economy, employment, energy security and boost rural infrastructure, while the major challenge is land take (859,561 ha). This is the first time an attempt is been made to document the emerging bio-ethanol projects in Nigeria. (author)

  1. The Role of Indigenous Languages in National Development: A Case Study of Nigerian Linguistic Situation

    Directory of Open Access Journals (Sweden)

    Anthony Ayodele Olaoye

    2013-05-01

    Full Text Available Indigenous languages are indispensable cultural legacies without which all forms of human interactions can be carried out. National development is the development of individuals in a nation. Individuals can develop educationally, socially, politically, economically, and culturally through interaction with government agencies that disseminate policies through various indigenous languages. Development indices such as internal cohesion, integration, unity, economic wellbeing and citizens’ participation in governance are promoted through indigenous languages. Based on these assertions, the author studied the current linguistic situations in Nigeria and found that native languages play fundamental role on issues  such as democracy, technology, metalanguage and linguistic globalization .There are however some challenges in the optimum  utilization of these mother tongues. The major problems being orthographic inadequacy,the multiplicity of minority languages, linguistic desertification and deforestation and  language endangerment.The author then suggests a way forward.

  2. Problems, Challenges and Prospects of Female Entrepreneurs in ...

    African Journals Online (AJOL)

    This paper seeks to discuss female entrepreneurs and the challenges they ... to make meaningful contributions to their family, the area council and the nation. ... in enabling the women to start their own business, types of businesses women ...

  3. 10 CFR 830 Major Modification Determination for Emergency Firewater Injection System Replacement

    International Nuclear Information System (INIS)

    Duckwitz, Noel

    2011-01-01

    The continued safe and reliable operation of the ATR is critical to the Department of Energy (DOE) Office of Nuclear Energy (NE) mission. While ATR is safely fulfilling current mission requirements, a variety of aging and obsolescence issues challenge ATR engineering and maintenance personnel's capability to sustain ATR over the long term. First documented in a series of independent assessments, beginning with an OA Environmental Safety and Health Assessment conducted in 2003, the issues were validated in a detailed Material Condition Assessment (MCA) conducted as a part of the ATR Life Extension Program in 2007. Accordingly, near term replacement of aging and obsolescent original ATR equipment has become important to ensure ATR capability in support of NE's long term national missions. To that end, a mission needs statement has been prepared for a non-major system acquisition which is comprised of three interdependent sub-projects. The first project will replace the existent diesel-electrical bus (E-3), switchgear, and the fifty year old antiquated marine diesels with commercial power that is backed with safety-related emergency diesel generators (EDGs), switchgear, and uninterruptible power supply. The second project will replace the four, obsolete, original primary coolant pumps and motors. The third project, the subject of this major modification determination, will replace the current emergency firewater injection system (EFIS). The replacement water injection system will function as the primary emergency water injection system with the EFIS being retained as a defense-in-depth backup. Completion of this and the two other age-related projects (replacement of the ATR diesel bus (E-3) and switchgear and replacement of the existent aged primary coolant pumps and motors) will resolve major age-related operational issues plus make a significant contribution in sustaining the ATR safety and reliability profile. The major modification criteria evaluation of the

  4. Different accounting approaches to harvested wood products in national greenhouse gas inventories: their incentives to achievement of major policy goals

    International Nuclear Information System (INIS)

    Hashimoto, Seiji

    2008-01-01

    The 2006 IPCC Guidelines for National Greenhouse Gas Inventories provide four accounting approaches to harvested wood products (HWP). These differ in the way they define system boundaries. Therefore, reported national carbon emissions differ according to the accounting approach used, and the implications of each accounting approach differ for different countries. This paper investigates four IPCC accounting approaches, as well as the 1996 IPCC default approach, to determine whether they provide incentives to achievement of major policy goals related to climate, forest, trade, and waste, taking into account indirect effects of wood use change (i.e., the effects on forest carbon stocks and on carbon emissions from the use of other fuels and materials). Conclusions are as follows: (1) The analyses produced many different results from those of previous studies. These differences appear to be attributable to whether or not the indirect effects of wood use change are taken into account and the reference scenarios that are assumed; (2) The best approaches for achieving each policy goal differ, and the best approaches for particular policy goals might pose problems for other policy goals; (3) Overall, the IPCC default approach is the best accounting approach from the viewpoint of greater compatibility with, or integration across, the array of policy goals, although it does not address the issue of an increasing global carbon stock in HWP

  5. Reconstructing tuberculosis services after major conflict: experiences and lessons learned in East Timor.

    Directory of Open Access Journals (Sweden)

    Nelson Martins

    2006-10-01

    Full Text Available BACKGROUND: Tuberculosis (TB is a major public health problem in developing countries. Following the disruption to health services in East Timor due to violent political conflict in 1999, the National Tuberculosis Control Program was established, with a local non-government organisation as the lead agency. Within a few months, the TB program was operational in all districts. METHODS AND FINDINGS: Using the East Timor TB program as a case study, we have examined the enabling factors for the implementation of this type of communicable disease control program in a post-conflict setting. Stakeholder analysis was undertaken, and semi-structured interviews were conducted in 2003 with 24 key local and international stakeholders. Coordination, cooperation, and collaboration were identified as major contributors to the success of the TB program. The existing local structure and experience of the local non-government organisation, the commitment among local personnel and international advisors to establishing an effective program, and the willingness of international advisers and local counterparts to be flexible in their approach were also important factors. This success was achieved despite major impediments, including mass population displacement, lack of infrastructure, and the competing interests of organisations working in the health sector. CONCLUSIONS: Five years after the conflict, the TB program continues to operate in all districts with high notification rates, although the lack of a feeling of ownership by government health workers remains a challenge. Lessons learned in East Timor may be applicable to other post-conflict settings where TB is highly prevalent, and may have relevance to other disease control programs.

  6. Corporate income tax and the international challenge

    Directory of Open Access Journals (Sweden)

    Folkvord Benn

    2014-11-01

    Full Text Available Although globalization has contributed immensely to growth and prosperity around the world, it is a growing challenge for tax policy makers. Globalization and greater mobility of tax bases increase the relative importance of taxes in corporations’ investment decisions. The combination of highly mobile capital, inadequacies in existing tax laws and a total change of international business environment have led to the fundamental problem in international tax law labeled by the OECD as the problem of BEPS (Base Erosion and Profit Shifting, along with severe competition among countries to attract investments and business activities. These challenges are the topic for the 2014 seminar of the Nordic Tax Research Council. Based on the Nordic national reports we discuss these challenges

  7. THE ASSESSMENT OF CYBERBULLYING: THE PRESENT SITUATION AND FUTURE CHALLENGE

    Directory of Open Access Journals (Sweden)

    Beatriz Lucas-Molina

    2016-01-01

    Full Text Available In the last decade there has been a significant increase in the interest of the educational and scientific community on cyberbullying, a new form of peer abuse and intimidation. Despite the widespread proliferation of studies and assessment tools on the phenomenon, there are still major conceptual and methodological gaps. This paper offers a comprehensive and updated review of the results of research on the definition of the construct, its prevalence and its impact on the people involved. Finally, it focuses specifically on the assessment of the construct and provides a brief review of the general and psychometric characteristics of the instruments used in some of the most relevant national and international studies conducted on the subject. This work places special emphasis on the present and future challenges and concludes with a number of general recommendations intended to guide the correct selection and/or construction of assessment instruments in this field of study.

  8. Challenges to modeling the Sun-Earth System: A Workshop Summary

    Science.gov (United States)

    Spann, James F.

    2006-01-01

    This special issue of the Journal of' Atmospheric and Solar-Terrestrial Physics is a compilation of 23 papers presented at The 2004 Huntsville Modeling Workshop: Challenges to Modeling thc San-Earth System held in Huntsville, AB on October 18-22, 2004. The title of the workshop appropriately captures the theme of what was presented and discussed by the 120 participants. Currently, end-to-end modeling of the Sun-Earth system is a major goal of the National Space Weather and NASA living with a star (LWS) programs. While profound advances have been made in modeling isolated regions of the Sun-Earth system, minimal progress has been achieved in modeling the end-to-end system. The transfer of mass, energy and momentum through the coupled Sun-Earth system spans a wide range of scales inn time and space. The uncertainty in the underlying physics responsible for coupling contiguous regions of the Sun-Earth system is recognized as a significant barrier to progress

  9. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

    Neslin, Scott A.; Grewal, Dhruv; Leghorn, Robert; Shankar, Venkatesh; Teerling, Marije L.; Thomas, Jacquelyn S.; Verhoef, Peter C.

    Multichannel customer management is the design, deployment, coordination, and evaluation of channels through which firms and customers interact, with the goal of enhancing customer value through effective customer acquisition, retention, and development. The authors identify five major challenges

  10. Challenges and opportunities in multichannel customer management

    NARCIS (Netherlands)

    Neslin, Scott A.; Grewal, Dhruv; Leghorn, Robert; Shankar, Venkatesh; Teerling, Marije L.; Thomas, Jacquelyn S.; Verhoef, Peter C.

    2006-01-01

    Multichannel customer management is the design, deployment, coordination, and evaluation of channels through which firms and customers interact, with the goal of enhancing customer value through effective customer acquisition, retention, and development. The authors identify five major challenges

  11. Implementing Article 12 of the United Nations Convention on the Rights of the Child in Child Protection Decision-Making: A Critical Analysis of the Challenges and Opportunities for Social Work

    Science.gov (United States)

    McCafferty, Paul

    2017-01-01

    One of the most frequently cited principles in the 1989 United Nations Convention on the Rights of the Child is Article 12. This article provides a critical analysis of the challenges that child protection social work faces when implementing Article 12 in social work decision-making whilst simultaneously keeping children safe. The article begins…

  12. U.S. physicians' views on financing options to expand health insurance coverage: a national survey.

    Science.gov (United States)

    McCormick, Danny; Woolhandler, Steffie; Bose-Kolanu, Anjali; Germann, Antonio; Bor, David H; Himmelstein, David U

    2009-04-01

    Physician opinion can influence the prospects for health care reform, yet there are few recent data on physician views on reform proposals or access to medical care in the United States. To assess physician views on financing options for expanding health care coverage and on access to health care. Nationally representative mail survey conducted between March 2007 and October 2007 of U.S. physicians engaged in direct patient care. Rated support for reform options including financial incentives to induce individuals to purchase health insurance and single-payer national health insurance; rated views of several dimensions of access to care. 1,675 of 3,300 physicians responded (50.8%). Only 9% of physicians preferred the current employer-based financing system. Forty-nine percent favored either tax incentives or penalties to encourage the purchase of medical insurance, and 42% preferred a government-run, taxpayer-financed single-payer national health insurance program. The majority of respondents believed that all Americans should receive needed medical care regardless of ability to pay (89%); 33% believed that the uninsured currently have access to needed care. Nearly one fifth of respondents (19.3%) believed that even the insured lack access to needed care. Views about access were independently associated with support for single-payer national health insurance. The vast majority of physicians surveyed supported a change in the health care financing system. While a plurality support the use of financial incentives, a substantial proportion support single payer national health insurance. These findings challenge the perception that fundamental restructuring of the U.S. health care financing system receives little acceptance by physicians.

  13. Leveraging the national cyberinfrastructure for biomedical research.

    Science.gov (United States)

    LeDuc, Richard; Vaughn, Matthew; Fonner, John M; Sullivan, Michael; Williams, James G; Blood, Philip D; Taylor, James; Barnett, William

    2014-01-01

    In the USA, the national cyberinfrastructure refers to a system of research supercomputer and other IT facilities and the high speed networks that connect them. These resources have been heavily leveraged by scientists in disciplines such as high energy physics, astronomy, and climatology, but until recently they have been little used by biomedical researchers. We suggest that many of the 'Big Data' challenges facing the medical informatics community can be efficiently handled using national-scale cyberinfrastructure. Resources such as the Extreme Science and Discovery Environment, the Open Science Grid, and Internet2 provide economical and proven infrastructures for Big Data challenges, but these resources can be difficult to approach. Specialized web portals, support centers, and virtual organizations can be constructed on these resources to meet defined computational challenges, specifically for genomics. We provide examples of how this has been done in basic biology as an illustration for the biomedical informatics community.

  14. Boosting Big National Lab Data

    Energy Technology Data Exchange (ETDEWEB)

    Kleese van Dam, Kerstin [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-02-21

    Introduction: Big data. Love it or hate it, solving the world’s most intractable problems requires the ability to make sense of huge and complex sets of data and do it quickly. Speeding up the process – from hours to minutes or from weeks to days – is key to our success. One major source of such big data are physical experiments. As many will know, these physical experiments are commonly used to solve challenges in fields such as energy security, manufacturing, medicine, pharmacology, environmental protection and national security. Experiments use different instruments and sensor types to research for example the validity of new drugs, the base cause for diseases, more efficient energy sources, new materials for every day goods, effective methods for environmental cleanup, the optimal ingredients composition for chocolate or determine how to preserve valuable antics. This is done by experimentally determining the structure, properties and processes that govern biological systems, chemical processes and materials. The speed and quality at which we can acquire new insights from experiments directly influences the rate of scientific progress, industrial innovation and competitiveness. And gaining new groundbreaking insights, faster, is key to the economic success of our nations. Recent years have seen incredible advances in sensor technologies, from house size detector systems in large experiments such as the Large Hadron Collider and the ‘Eye of Gaia’ billion pixel camera detector to high throughput genome sequencing. These developments have led to an exponential increase in data volumes, rates and variety produced by instruments used for experimental work. This increase is coinciding with a need to analyze the experimental results at the time they are collected. This speed is required to optimize the data taking and quality, and also to enable new adaptive experiments, where the sample is manipulated as it is observed, e.g. a substance is injected into a

  15. Global pressure or national identity: strategic challenges for Russian business schools

    Directory of Open Access Journals (Sweden)

    Valentina Gerasimenko

    2017-05-01

    Full Text Available In the context of globalization of the business education market, Russian business schools face a complex managerial problem - how to preserve a business school's identity. The parameters of demand for managerial education in Russia have become significantly more complicated, new global competitive pressure forces have arisen, compelling business schools to adjust and revise their strategies and comply with international standards of the global business education market. Normative pressure is one of the key reasons that encourage business schools to adapt successful overseas education models. However, the impact of market logic often covers normative appeals to adaptation, as reflected in copying and adoption of the US MBA model. Our research aims to show what the priorities of Russian business school MBA students are today in choosing a business school, as well as which of the competencies of graduates are most on demand in the Russian labour market. The research was conducted over a period of three years (from 2014 to 2016, 358 Lomonosov Moscow State University MBA program graduates who study in Russia and Kazakhstan participated in our questionnaires. The structure of qualities stated by our graduates raises serious challenges to the content and standards of MBA programs in the global context, especially considering the cultural code of the nation, manifested in the practice of doing business. Globalized and marketable specialized managerial knowledge is clearly a priority among graduates today. Greater attention is being devoted to new innovative models in the field of managerial education (edtech platforms, on-demand platforms, subscription model, freemium model, etc.. The development of innovative models by traditional business schools may cause tension between efficiency and innovation as well as conflicting managerial tasks. Among strategic priorities for Russian business schools under the influence of globalization we highlight

  16. Dealing with the challenges of curriculum implementation: Lessons ...

    African Journals Online (AJOL)

    The article suggests solutions to the educational challenges experienced by rural schoolteachers in implementing the national curriculum policy statements. The results should be of interest to curriculum developers, administrators, and evaluators responsible for solving implementation problems. Este estudo pretende ...

  17. Biological approaches for addressing the grand challenge of providing access to clean drinking water

    Science.gov (United States)

    2011-01-01

    The U.S. National Academy of Engineering (NAE) recently published a document presenting "Grand Challenges for Engineering". This list was proposed by leading engineers and scientists from around the world at the request of the U.S. National Science Foundation (NSF). Fourteen topics were selected for these grand challenges, and at least seven can be addressed using the tools and methods of biological engineering. Here we describe how biological engineers can address the challenge of providing access to clean drinking water. This issue must be addressed in part by removing or inactivating microbial and chemical contaminants in order to properly deliver water safe for human consumption. Despite many advances in technologies this challenge is expanding due to increased pressure on fresh water supplies and to new opportunities for growth of potentially pathogenic organisms. PMID:21453515

  18. Rural development--national improvement.

    Science.gov (United States)

    Malhotra, R C

    1984-05-01

    Rural development should be viewed as the core of any viable strategy for national development in developing countries where an average 2/3 of the population live in rural areas. Rural development is multisectoral, including economic, sociopolitical, environmental, and cultural aspects of rural life. Initially, the focus is on the provision of basic minimum needs in food, shelter, clothing, health, and education, through optimum use and employment of all available resources, including human labor. The development goal is the total development of the human potential. The hierarchy of goals of development may be shown in the form of an inverted pyramid. At the base are basic minimum needs for subsistence whose fulfillment leads to a higher set of sociopolitical needs and ultimately to the goal of total developmentand the release of creative energies of every individual. If development, as outlined, were to benefit the majority of the people then they would have to participate in decision making which affects their lives. This would require that the people mobilize themselves in the people'ssector. The majority can equitably benefit from development only if they are mobilized effectively. Such mobilization requires raising the consciousness of the people concerning their rights and obligations. All development with the twin objectives of growth with equity could be reduced to restructuring the socioeconomic, and hence political relationships. Desinging and implementing an intergrated approach to rural development is the 1st and fundamental issue of rural development management. The commonly accepted goals and objectives of a target group oriented antipoverty development strategy include: higher productivity and growth in gross national product (GNP); equitable distribution of the benefits of development; provision of basic minimum needs for all; gainful employment; participation in development; self reliance or self sustaining growth and development; maintenance of

  19. Positivists, Postmodernists, Aristotelians, and the Challenger Disaster.

    Science.gov (United States)

    Walzer, Arthur E.; Gross, Alan

    1994-01-01

    Examines the deliberations prior to the Challenger disaster from the perspective of three major approaches in recent scholarship in rhetoric as applied to technical communications: positivism, postmodernistic social constructionism, and classical Aristotelianism. Champions an approach based on Aristotle's "Rhetoric." (HB)

  20. Defining the Nation: National Identity in South Sudanese Media Discourse Eine Nation definieren: Die nationale Identität im südsudanesischen Mediendiskurs

    Directory of Open Access Journals (Sweden)

    Ole Frahm

    2012-01-01

    Full Text Available This article examines debates about national identity in the media landscape of post-referendum and post-independence South Sudan. Having never existed as a sovereign state and with its citizens being a minority group in Sudan, collective action among South Sudanese has historically been shaped in response to external pressures: in particular, the aggressive nation-building pursued by successive Khartoum governments that sought to Arabize and Islamize the South. Today, in the absence of a clear-cut enemy, it is a major challenge for South Sudan to devise a common identity that unites the putative nation beyond competing loyalties to ethnicity, tribe and family. Analysing opinion pieces from South Sudanese online media and placing them in the context of contemporary African nationalism, this article gives an initial overview of the issues that dominate the public debate on national identity: fear of tribalism and regionalism, commemoration of the liberation struggle, language politics, and the role of Christianity.Dieser Artikel widmet sich den Debatten, die in südsudanesischen Medien von der Nachreferendumszeit bis einige Monate nach der Unabhängigkeit über die nationale Identität geführt wurden. Der Südsudan hatte nie als souveräner Staat existiert und innerhalb des Sudan hatten die Südsudanesen eine Minderheit gebildet. In der Geschichte war gemeinschaftliches Handeln der Südsudanesen in erster Linie als Reaktion auf Druck von außen in Erscheinung getreten, insbesondere im Zusammenhang mit Arabisierungs- und Islamisierungsbestrebungen von Regierungen in Khartum. Heute fehlt ein eindeutiges Feindbild. Daher ist der Entwurf einer gemeinsamen Identität, die das Land über konkurrierende Loyalitäten zu Stamm, Ethnie oder Familie hinweg zu einen vermag, eine große Herausforderung für den Südsudan. Auf der Grundlage von Meinungsäußerungen in südsudanesischen Online-Zeitungen, die er zum „neuen“ afrikanischen

  1. Recent European Challenges and the Danish Collective Agreement Model

    DEFF Research Database (Denmark)

    Larsen, Trine Pernille; Navrbjerg, Steen Erik

    are related to the new forms of cross-border collaboration and negotiations taking place within multi-national corporations (MNC's). This research paper examines a series of challenges facing the collective bargaining systems in Denmark, Estonia, Northern Ireland and Sweden. These countries represent four...... distinct labour market systems with different traditions of social dialogue and allow comparison of how different EU member states handled the recent challenges caused by the increased European integration....

  2. EU Failing FAO Challenge to Improve Global Food Security.

    Science.gov (United States)

    Smyth, Stuart J; Phillips, Peter W B; Kerr, William A

    2016-07-01

    The announcement that the European Union (EU) had reached an agreement allowing Member States (MS) to ban genetically modified (GM) crops confirms that the EU has chosen to ignore the food security challenge issued to the world by the Food and Agriculture Organization of the United Nations (FAO) in 2009. The FAO suggests that agricultural biotechnology has a central role in meeting the food security challenge. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Health information exchange: national and international approaches.

    Science.gov (United States)

    Vest, Joshua R

    2012-01-01

    Health information exchange (HIE), the process of electronically moving patient-level information between different organizations, is viewed as a solution to the fragmentation of data in health care. This review provides a description of the current state of HIE in seven nations, as well was three international HIE efforts, with a particular focus on the relation of exchange efforts to national health care systems, common challenges, and the implications of cross-border information sharing. National and international efforts highlighted in English language informatics journals, professional associations, and government reports are described. Fully functioning HIE is not yet a common phenomenon worldwide. However, multiple nations see the potential benefits of HIE and that has led to national and international efforts of varying scope, scale, and purview. National efforts continue to work to overcome the challenges of interoperability, record linking, insufficient infrastructures, governance, and interorganizational relationships, but have created architectural strategies, oversight agencies, and incentives to foster exchange. The three international HIE efforts reviewed represent very different approaches to the same problem of ensuring the availability of health information across borders. The potential of HIE to address many cost and quality issues will ensure HIE remains on many national agendas. In many instances, health care executives and leaders have opportunities to work within national programs to help shape local exchange governance and decide technology partners. Furthermore, HIE raises policy questions concerning the role of centralized planning, national identifiers, standards, and types of information exchanged, each of which are vital issues to individual health organizations and worthy of their attention.

  4. United Nations Peacekeeping: Issues for Congress

    National Research Council Canada - National Science Library

    Browne, Marjorie A

    2008-01-01

    A major issue facing the United Nations, the United States, and the 110th Congress is the extent to which the United Nations has the capacity to restore or keep the peace in the changing world environment...

  5. United Nations Peacekeeping: Issues for Congress

    National Research Council Canada - National Science Library

    Browne, Marjorie A

    2007-01-01

    A major issue facing the United Nations, the United States, and the 110th Congress is the extent to which the United Nations has the capacity to restore or keep the peace in the changing world environment...

  6. Correlates of Psychological Distress and Major Depressive Disorder among African American Men

    Science.gov (United States)

    Lincoln, Karen D.; Taylor, Robert Joseph; Watkins, Daphne C.; Chatters, Linda M.

    2011-01-01

    This study examines the demographic correlates of depressive symptoms, serious psychological distress (SPD), and major depressive disorder (MDD; 12-month and lifetime prevalence) among a national sample of African American men. Analysis of the National Survey of American Life (NSAL) data set provides first-time substantiation of important…

  7. Evaluation of the Pilot Program for Home School and ChalleNGe Program Recruits

    National Research Council Canada - National Science Library

    Garcia, F

    2001-01-01

    The National Defense Authorization Act for Fiscal Year 1999 (FY 99) directed a 5-year pilot program to treat graduates of home schools and graduates of the National Guard Youth ChalleNGe Program holding General Education Development (GED...

  8. Optimism and challenge for science-based conservation of migratory species in and out of U.S. National Parks.

    Science.gov (United States)

    Berger, Joel; Cain, Steven L; Cheng, Ellen; Dratch, Peter; Ellison, Kevin; Francis, John; Frost, Herbert C; Gende, Scott; Groves, Craig; Karesh, William A; Leslie, Elaine; Machlis, Gary; Medellin, Rodrigo A; Noss, Reed F; Redford, Kent H; Soukup, Michael; Wilcove, David; Zack, Steve

    2014-02-01

    Public agencies sometimes seek outside guidance when capacity to achieve their mission is limited. Through a cooperative agreement and collaborations with the U.S. National Park Service (NPS), we developed recommendations for a conservation program for migratory species. Although NPS manages ∼ 36 million hectares of land and water in 401 units, there is no centralized program to conserve wild animals reliant on NPS units that also migrate hundreds to thousands of kilometers beyond parks. Migrations are imperiled by habitat destruction, unsustainable harvest, climate change, and other impediments. A successful program to counter these challenges requires public support, national and international outreach, and flourishing migrant populations. We recommended two initial steps. First, in the short term, launch or build on a suite of projects for high-profile migratory species that can serve as proof to demonstrate the centrality of NPS units to conservation at different scales. Second, over the longer term, build new capacity to conserve migratory species. Capacity building will entail increasing the limited knowledge among park staff about how and where species or populations migrate, conditions that enable migration, and identifying species' needs and resolving them both within and beyond parks. Building capacity will also require ensuring that park superintendents and staff at all levels support conservation beyond statutory borders. Until additional diverse stakeholders and a broader American public realize what can be lost and do more to protect it and engage more with land management agencies to implement actions that facilitate conservation, long distance migrations are increasingly likely to become phenomena of the past. © 2014 Society for Conservation Biology.

  9. National nuclear safety report 2005. Convention on nuclear safety

    International Nuclear Information System (INIS)

    2006-01-01

    This National Nuclear Safety Report was presented at the 3rd. Review meeting. In general the information contained in the report are: Highlights / Themes; Follow-up from 2nd. Review meeting; Challenges, achievements and good practices; Planned measures to improve safety; Updates to National report to 3rd. Review meeting; Questions from peer review of National Report; and Conclusions

  10. Successful Control of Major Project Budgets

    Directory of Open Access Journals (Sweden)

    Steen Lichtenberg

    2016-07-01

    Full Text Available This paper differs from scientific papers describing current research. In line with the theme of this special issue, it challenges conventional risk management practice against the background of former research results successfully finished decades ago. It is well-known that conventional practice frequently results in budget overruns of large projects. International reviews document that. Severe delays of schedules are also well-known. This paper describes successful research results from almost three decades ago, which successfully challenges this severe problem and has led to new practices. The research involved is an unusual mix: Scandinavian researchers from psychology, statistical theory and engineering economy. The resulting procedure has been widely used since around 1990 and challenges conventional procedures. The procedure is documented to be able to yield statistically correct prognoses, when the “rules of the game” have been correctly followed. After a short summary of the basic situation, this paper summarizes the research, followed by some resulting experiences, focusing on two recent studies each of 40 infrastructures and other major projects. In both sets, the actual final cost largely equaled the expected project cost. This result is a marked change from international past and present experience. Finally, the need for further research and progress is discussed.

  11. Design challenges and gaps in standards in developing an interoperable zero footprint DI thin client for use in image-enabled electronic health record solutions

    Science.gov (United States)

    Agrawal, Arun; Koff, David; Bak, Peter; Bender, Duane; Castelli, Jane

    2015-03-01

    The deployment of regional and national Electronic Health Record solutions has been a focus of many countries throughout the past decade. A major challenge for these deployments has been support for ubiquitous image viewing. More specifically, these deployments require an imaging solution that can work over the Internet, leverage any point of service device: desktop, tablet, phone; and access imaging data from any source seamlessly. Whereas standards exist to enable ubiquitous image viewing, few if any solutions exist that leverage these standards and meet the challenge. Rather, most of the currently available web based DI viewing solutions are either proprietary solutions or require special plugins. We developed a true zero foot print browser based DI viewing solution based on the Web Access DICOM Objects (WADO) and Cross-enterprise Document Sharing for Imaging (XDS-I.b) standards to a) demonstrate that a truly ubiquitous image viewer can be deployed; b) identify the gaps in the current standards and the design challenges for developing such a solution. The objective was to develop a viewer, which works on all modern browsers on both desktop and mobile devices. The implementation allows basic viewing functionalities of scroll, zoom, pan and window leveling (limited). The major gaps identified in the current DICOM WADO standards are a lack of ability to allow any kind of 3D reconstruction or MPR views. Other design challenges explored include considerations related to optimization of the solution for response time and low memory foot print.

  12. Building sustainable policy framework for transport development: A review of national transport policy initiatives in Nigeria

    Directory of Open Access Journals (Sweden)

    Sumaila A.F.

    2013-06-01

    Full Text Available This paper is concerned with building a sustainable policy framework for transport development in Nigeria. Its objective is to review the country’s transport policy initiatives in order to understand the extent to which it addresses Nigeria’s mobility and transportation problems. From published materials and official government documents and files, the study identifies four national policy initiatives which are reviewed and analysed with regard to their context, contents, and consequences. The study reveals that while the policy initiatives could be said to be adequate and comprehensive in terms of their context and contents, the major challenge is implementation of recommended solutions. The study therefore provides a general checklist to guide policy direction, while advocating for policy-based researches and empirical studies in order to provide the data base for formulation of a sustainable national transport policy for Nigeria.

  13. The case for a United Nations verification agency. Disarmament under effective international control. Working paper 26

    International Nuclear Information System (INIS)

    Dorn, A.W.

    1990-07-01

    It is now universally recognized that arms control treaties should be effectively verified. The most objective, flexible and cost-effective means to verify the majority of multilateral treaties would be through a new agency under the United Nations. As a cooperative international effort to develop both the technology and the political framework for arms control verification, a United Nations verification agency (UNVA) would speed up and help secure the disarmament process by: verifying a number of existing and future treaties; investigating alleged breaches of treaties; and certifying, upon request, that voluntary arms control and confidence-building measures have been carried out. This paper presents the case for such a proposal, outlines a possible institutional configuration, considers the possibilities for growth and discusses the challenges facing the establishment of such an agency. (author). 16 refs., 1 tab

  14. The case for a United Nations verification agency. Disarmament under effective international control. Working paper 26

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, A W

    1990-07-01

    It is now universally recognized that arms control treaties should be effectively verified. The most objective, flexible and cost-effective means to verify the majority of multilateral treaties would be through a new agency under the United Nations. As a cooperative international effort to develop both the technology and the political framework for arms control verification, a United Nations verification agency (UNVA) would speed up and help secure the disarmament process by: verifying a number of existing and future treaties; investigating alleged breaches of treaties; and certifying, upon request, that voluntary arms control and confidence-building measures have been carried out. This paper presents the case for such a proposal, outlines a possible institutional configuration, considers the possibilities for growth and discusses the challenges facing the establishment of such an agency. (author). 16 refs., 1 tab.

  15. HAPPY Team Entry to NIST OpenSAD Challenge

    DEFF Research Database (Denmark)

    Kinnunen, Tomi; Sholokhov, Alexey; Khoury, Elie

    2016-01-01

    Speech activity detection (SAD), the task of locating speech segments from a given recording, remains challenging under acoustically degraded conditions. In 2015, National Institute of Standards and Technology (NIST) coordinated OpenSAD bench-mark. We summarize “HAPPY” team effort to Open- SAD...

  16. Ten Challenges of the Amyloid Hypothesis of Alzheimer's Disease.

    Science.gov (United States)

    Kepp, Kasper Planeta

    2017-01-01

    The inability to effectively halt or cure Alzheimer's disease (AD), exacerbated by the recent failures of high-profile clinical trials, emphasizes the urgent need to understand the complex biochemistry of this major neurodegenerative disease. In this paper, ten central, current challenges of the major paradigm in the field, the amyloid hypothesis, are sharply formulated. These challenges together show that new approaches are necessary that address data heterogeneity, increase focus on the proteome level, use available human patient data more actively, account for the aging phenotype as a background model of the disease, unify our understanding of the interplay between genetic and non-genetic risk factors, and combine into one framework both the familial and sporadic forms of the disease.

  17. Hospital-affiliated and hospital-owned retail clinics: strategic opportunities and operational challenges.

    Science.gov (United States)

    Kaissi, Amer

    2010-01-01

    Retail clinics have experienced an exponential growth in the last few years. While the majority of retail clinics are freestanding, venture-backed companies affiliated with retail hosts, an increasing number of hospital systems have decided to develop their own retail clinics or partner with existing national companies. Using a stakeholder approach, the purpose of this article is to assess the strategic considerations behind these decisions and the operational challenges associated with them and to use the results to develop a questionnaire that can be applied in future research in a national sample of healthcare executives. We conducted eight in-depth interviews with administrative and clinical leaders in seven hospital systems across the United States that have or had a relationship with retail clinics in the last three years. Our findings show that the hospital systems' association with retail clinics involves two main models: an affiliation with retail chains that operate the clinics and ownership of the clinics with an arms-length relationship with the retail chain. Hospital systems are engaging in these relationships for several strategic reasons: to increase market share through enhanced referrals to physician offices and hospitals, to become closer to consumers, and to experiment with nontraditional ways of delivering health care. Operational challenges included physician resistance and skepticism, poor financial performance, people's perception of retail clinics, staffing issues, and the newness of the business model. Six out of eight respondents thought that hospital affiliation with/ownership of retail clinics is a trend that is here to stay, although many provided caveats and stipulations. Further research is needed to provide more evidence about this emerging way of healthcare delivery.

  18. Can thermostable vaccines help address cold-chain challenges? Results from stakeholder interviews in six low- and middle-income countries.

    Science.gov (United States)

    Kristensen, Debra D; Lorenson, Tina; Bartholomew, Kate; Villadiego, Shirley

    2016-02-10

    This study captures the perspectives of stakeholders at multiple levels of the vaccine supply chain regarding their assessment of challenges with storing vaccines within recommended temperature ranges and their perceptions on the benefits of having vaccines with improved stability, including the potential short-term storage and transport of vaccines in a controlled-temperature chain. Semi-structured interviews were undertaken with 158 immunization stakeholders in six countries. Interviewees included national decision-makers and advisors involved in vaccine purchasing decisions, national Expanded Programme on Immunization managers, and health and logistics personnel at national, subnational, and health facility levels. Challenges with both heat and freeze-exposure of vaccines were recognized in all countries, with heat-exposure being a greater concern. Conditions leading to freeze-exposure including ice build-up due to poor refrigerator performance and improper icepack conditioning were reported by 53% and 28% of participants, respectively. Respondents were interested in vaccine products with improved heat/freeze-stability characteristics. The majority of those involved in vaccine purchasing indicated they would be willing to pay a US$0.05 premium per dose for a freeze-stable pentavalent vaccine (68%) or a heat-stable rotavirus vaccine (59%), although most (53%) preferred not to pay the premium for a heat-stable pentavalent vaccine if the increased stability required changing from a liquid to a lyophilized product. Most respondents (73%) were also interested in vaccines labeled for short-term use in a controlled-temperature chain. The majority (115/158) recognized the flexibility this would provide during outreach or should cold-chain breaks occur. Respondents were also aware that possible confusion might arise and additional training would be required if handling conditions were changed for some, but not all vaccines. Participating immunization stakeholders

  19. Using Grand Challenges to Teach Science: A Biology-Geology Collaboration

    Science.gov (United States)

    Lyford, M.; Myers, J. D.

    2012-12-01

    Three science courses at the University of Wyoming explore the inextricable connections between science and society by centering on grand challenges. Two of these courses are introductory integrated science courses for non-majors while the third is an upper level course for majors and non-majors. Through collaboration, the authors have developed these courses to explore the grand challenges of energy, water and climate. Each course focuses on the fundamental STEM principles required for a citizen to understand each grand challenge. However, the courses also emphasize the non-STEM perspectives (e.g., economics, politics, human well-being, externalities) that underlie each grand challenge and argue that creating equitable, sustainable and just solutions to the grand challenges hinges on an understanding of STEM and non-STEM perspectives. Moreover, the authors also consider the multitude of personal perspectives individuals bring to the classroom (e.g., values, beliefs, empathy misconceptions) that influence any stakeholder's ability to engage in fruitful discussions about grand challenge solutions. Discovering Science (LIFE 1002) focuses on the grand challenges of energy and climate. Students attend three one-hour lectures, one two-hour lab and a one-hour discussion each week. Lectures emphasize the STEM and non-STEM principles underlying each grand challenge. Laboratory activities are designed to be interdisciplinary and engage students in inquiry-driven activities to reinforce concepts from lecture and to model how science is conducted. Labs also expose students to the difficulties often associated with scientific studies, the limits of science, and the inherent uncertainties associated with scientific findings. Discussion sessions provide an opportunity for students to explore the complexity of the grand challenges from STEM and non-STEM perspectives, and expose the multitude of personal perspectives an individual might harbor related to each grand challenge

  20. Challenges of caring for children with mental disorders: Experiences and views of caregivers attending the outpatient clinic at Muhimbili National Hospital, Dar es Salaam - Tanzania.

    Science.gov (United States)

    Ambikile, Joel Semel; Outwater, Anne

    2012-07-05

    It is estimated that world-wide up to 20 % of children suffer from debilitating mental illness. Mental disorders that pose a significant concern include learning disorders, hyperkinetic disorders (ADHD), depression, psychosis, pervasive development disorders, attachment disorders, anxiety disorders, conduct disorder, substance abuse and eating disorders. Living with such children can be very stressful for caregivers in the family. Therefore, determination of challenges of living with these children is important in the process of finding ways to help or support caregivers to provide proper care for their children. The purpose of this study was to explore the psychological and emotional, social, and economic challenges that parents or guardians experience when caring for mentally ill children and what they do to address or deal with them. A qualitative study design using in-depth interviews and focus group discussions was applied. The study was conducted at the psychiatric unit of Muhimbili National Hospital in Tanzania. Two focus groups discussions (FGDs) and 8 in-depth interviews were conducted with caregivers who attended the psychiatric clinic with their children. Data analysis was done using content analysis. The study revealed psychological and emotional, social, and economic challenges caregivers endure while living with mentally ill children. Psychological and emotional challenges included being stressed by caring tasks and having worries about the present and future life of their children. They had feelings of sadness, and inner pain or bitterness due to the disturbing behaviour of the children. They also experienced some communication problems with their children due to their inability to talk. Social challenges were inadequate social services for their children, stigma, burden of caring task, lack of public awareness of mental illness, lack of social support, and problems with social life. The economic challenges were poverty, child care interfering with